Active NPI
Professional Nursing Services, Inc.
- Community Health Registered Nurse
- Marion, SC
National Provider Identifier
1306804893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 71658
- Legal business name
- PROFESSIONAL NURSING SERVICES, INC.
- Practice address
- 115 W Fairlee St
Marion, SC 29571-2907 - Phone
- (843) 275-0110
- Fax
- (843) 275-0228
- NPI assigned
- May 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly D. Hunsucker, RN
- Title
- President/Ceo
- Phone
- (843) 275-0110
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 71658 | SC | Primary |
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
115 W Fairlee St
Marion, SC 29571-2907
Mailing address
115 W Fairlee St
Marion, SC 29571-2907
Phone (843) 275-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0699 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184630400000",
"number": "1306804893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W FAIRLEE ST",
"city": "MARION",
"state": "SC",
"postal_code": "295712907",
"telephone_number": "843-275-0110",
"fax_number": "843-275-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W FAIRLEE ST",
"city": "MARION",
"state": "SC",
"postal_code": "295712907",
"telephone_number": "843-275-0110",
"fax_number": "843-275-0228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL NURSING SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2007-07-17",
"status": "A",
"authorized_official_last_name": "HUNSUCKER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "843-275-0110",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "71658",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX0699",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.