Active NPI
Sharon M Haselden, RN
- Registered Nurse
- Johnsonville, SC
National Provider Identifier
1265770770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 39534
- Practice address
- 237 S Georgetown Hwy
Johnsonville, SC 29555-8081 - Phone
- (843) 386-2609
- Fax
- (843) 386-3125
- NPI assigned
- Jan 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 39534 | SC | Primary |
Addresses
Primary practice location
237 S Georgetown Hwy
Johnsonville, SC 29555-8081
Mailing address
PO Box 861
652 S. Midway Hwy
Johnsonville, SC 29555-0861
Phone (843) 386-2609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39534 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1265770770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 861",
"address_2": "652 S. MIDWAY HWY",
"city": "JOHNSONVILLE",
"state": "SC",
"postal_code": "295550861",
"telephone_number": "843-386-2609",
"fax_number": "843-386-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 S GEORGETOWN HWY",
"city": "JOHNSONVILLE",
"state": "SC",
"postal_code": "295558081",
"telephone_number": "843-386-2609",
"fax_number": "843-386-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASELDEN",
"first_name": "SHARON",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "39534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnsonville, SC
- Florence County School District Five
- Florence School District # 5
- Florence School District Five
- Florence School District Five
- Freds Stores of Tennessee Inc
- Health Care Partners of South Carolina, Inc.
- Health Care Partners of South Carolina, Inc.
- Health Care Partners of South Carolina, Inc.
- Christine Shutter Hodges
- HRM RX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.