Active NPI
Suzanne M O'Shea, RN
- Ambulatory Care Registered Nurse
- Charleston, SC
National Provider Identifier
1295092328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- 77629
- Practice address
- 204 W. Hill Blvd
Charleston, SC 29404-0000 - Phone
- (843) 963-6994
- Fax
- (843) 963-6543
- NPI assigned
- Apr 13, 2012
- 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 |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 77629 | SC | Primary |
Addresses
Primary practice location
204 W. Hill Blvd
Charleston, SC 29404-0000
Mailing address
4008 Plantation House Rd
Summerville, SC 29485-6239
Phone (843) 963-6994
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 |
|---|---|---|---|
| 77629 | SC | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1295092328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 PLANTATION HOUSE RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294856239",
"telephone_number": "843-963-6994",
"fax_number": "843-963-6543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W. HILL BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294040000",
"telephone_number": "843-963-6994",
"fax_number": "843-963-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SHEA",
"first_name": "SUZANNE",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "SC",
"license": "77629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.