Organization Active NPI

La Clinica

  • Nurse Practitioner
  • Hilton Head Island, SC
National Provider Identifier
1265752588
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN 1897 Issued in SC
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
APN 1897OtherSCMEDICAL LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
La Clinica2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.