Active NPI
La Clinica
- Nurse Practitioner
- Hilton Head Island, SC
National Provider Identifier
1265752588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN 1897
- Legal business name
- LA CLINICA
- Practice address
- 157 William Hilton Pkwy
Hilton Head Island, SC 29926-5218 - Phone
- (843) 338-1598
- Fax
- (843) 342-2710
- NPI assigned
- Jun 9, 2010
- Last updated
- Jun 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie E Satizabal
- Title
- Administrative Assistant
- Phone
- (843) 338-1598
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN 1897 | SC | Primary |
Addresses
Primary practice location
157 William Hilton Pkwy
Hilton Head Island, SC 29926-5218
Mailing address
PO Box 23253
Hilton Head Island, SC 29925-3253
Phone (843) 338-1598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN 1897 | Other | SC | MEDICAL LICENSE NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- La Clinica
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Health Clinical Nurse Specialist
- Hilton Head Island, SC
- NPI 1639422892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276041600000",
"number": "1265752588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23253",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299253253",
"telephone_number": "843-338-1598",
"fax_number": "843-342-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 WILLIAM HILTON PKWY",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299265218",
"telephone_number": "843-338-1598",
"fax_number": "843-342-2710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA CLINICA",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-09",
"last_updated": "2010-06-09",
"status": "A",
"authorized_official_last_name": "SATIZABAL",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "843-338-1598"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "APN 1897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "APN 1897",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilton Head Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.