Charlotte J Derrer, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

241013 Issued in SC

Practice address

200 McDaniel Ave
Pickens, SC 29671-2527

Phone

(864) 898-5965

NPI assigned

Sep 15, 2021

Last updated

Sep 15, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of South Carolina

  dba SC Department of Public Health

  • Public Health or Welfare Agency
  • Pickens, SC
  • NPI 1043396161
  NPD

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1285304964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MCDANIEL AVE",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712527",
            "telephone_number": "864-898-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MCDANIEL AVE",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712527",
            "telephone_number": "864-898-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRER",
        "first_name": "CHARLOTTE",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "241013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wade Crouch, NCPRSS
• Molly Dalva, M. ED. , EDS, NCC
• Catherine Daniel, DMD
• Michelle Ann Davis, RN,CMSRN
• Deeper Roots Physical Therapy, LLC
• Michael L Dillard, M.D.
• Michael E Donald, M.D.
• Jonathan Donnald, LPC
• Brian R Dooley, D.C.
• Alexandria Dow

• Registered Nurse in Pickens, SC
• Providers in Pickens, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.