Stella Shifrin-Tatesure, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

27498 Issued in SC

Practice address

1941 Savage Rd Ste 100E
Charleston, SC 29407-4788

Phone

(843) 793-1353

Fax

(843) 818-4172

NPI assigned

Jun 28, 2023

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Apr 9, 2024 through Apr 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25788/brand/1/csg/1/fhir/r4

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.

• Andrews Healthcare, LLC

  • Internal Medicine Physician
  • Charleston, SC
  • NPI 1174286348
  NPD (past)
• Charleston Medicine and Behavioral Health, LLC

  • Health Service Clinic/Center
  • Charleston, SC
  • NPI 1518625441
  NPD (past)

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1306523766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 SAVAGE RD STE 100E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074788",
            "telephone_number": "843-793-1353",
            "fax_number": "843-818-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SAVAGE RD STE 100E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074788",
            "telephone_number": "843-793-1353",
            "fax_number": "843-818-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFRIN-TATESURE",
        "first_name": "STELLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily K Shier, MA
• Shierlock Psychiatry LLC
• Jennifer Marie Shierlock, M.D.
• Alanna M Shiflett, NP
• Cameron Taylor Shiflett, NNP
• Aljanea Shiggs
• Brett M. Shigley, DMD, MS
• Caleb Shilko
• Robert E Shilot, HIS
• Kelli M Shilts, PA

• Family Nurse Practitioner in Charleston, SC
• Providers in Charleston, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.