Individual provider Active NPI

Brooke Houshiar, DNP, FNP-C

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1295469765
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26287 Issued in SC
Practice address
5325 Appian Way
Charleston, SC 29420-7234
Phone
(843) 552-0400
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26287 SC Primary

Addresses

Primary practice location

5325 Appian Way
Charleston, SC 29420-7234

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 572-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502000379 SC Practitioner - Nurse Practitioner 9830554567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Primary Care Physicians LLCGroup PAC ID 4880508068, 148 clinicians

Practice addresses (Care Compare)

133 E 1St N St
Suite 5
Summerville, SC 29483-6873
Phone (843) 873-1592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince May 1, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince May 1, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Alpha Medical & Spinal Care, LLC PastSince Jul 1, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients
Alpha Care Allergy, Asthma & Immunology PastSince Jul 1, 2022 Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

5325 Appian Way
Charleston, SC 29420
Phone (843) 552-0400

776 Daniel Ellis Dr
Ste 1B
Charleston, SC 29412
Phone (843) 795-0300

899 Island Park Dr
Ste 200
Daniel Island, SC 29492
Phone (843) 797-5050

7 S Alliance Dr
Ste 211B
Goose Creek, SC 29445
Phone (843) 553-4383

110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503

115 Executive Pkwy
Moncks Corner, SC 29461
Phone (843) 761-2815

401 N Live Oak Dr
Ste B
Moncks Corner, SC 29461
Phone (843) 761-7884

9313 Medical Plaza Dr
Ste 202
North Charleston, SC 29406
Phone (843) 572-1200

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

133 E 1st North St
Ste 5
Summerville, SC 29483
Phone (843) 821-2480

201 Oakbrook Ln
Ste 255
Summerville, SC 29485
Phone (843) 695-8464

300 W 4th North St
Summerville, SC 29483
Phone (843) 285-7515

507 N Laurel St
Summerville, SC 29483
Phone (843) 875-0600

809 N Cedar St
Summerville, SC 29483
Phone (843) 851-9440

435 N Cedar St
Summerville, SC 29483
Phone (843) 873-1592

Interoperability endpoints

  • Direct secure messaging: brooke.houshiar@ppcp1.eclinicaldirectplus.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1295469765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-572-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 APPIAN WAY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294207234",
            "telephone_number": "843-552-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSHIAR",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.