Stephanie R Donovan, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

22982 Issued in SC

Practice address

615 Johnnie Dodds Blvd Ste 102
Mount Pleasant, SC 29464-3082

Phone

(843) 936-6451

NPI assigned

Jul 16, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stephanie R Houchin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Low Country Male LLC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Mount Pleasant, SC
  • NPI 1336699917
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1285287516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WANDO LANDING ST",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928533",
            "telephone_number": "843-367-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 JOHNNIE DODDS BLVD STE 102",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643082",
            "telephone_number": "843-936-6451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9231 Medical Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069101",
            "country_code": "US",
            "telephone_number": "843-572-7715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "22982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HOUCHIN",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Doctors Care SC, PA
• Amy Dodds, PH.D.
• Jonathan T. Donaldson, MD
• Jennifer Donlin, NP
• Kerry Donohoe
• Anna Grace Dorrien
• Natalie Strawn Doss, MA ,CCC-SLP
• Aprile Doubt, OD
• Christina E Doucette, M.A., LPC
• Paul Martin Doughty, D.M.D.

• Primary Care Nurse Practitioner in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.