Individual provider Active NPI

Lorie Jane Shearon-Hanna, RN,CDE

  • Diabetes Educator Registered Nurse
  • Mount Pleasant, SC
National Provider Identifier
1316375942
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
20710373 Issued in SC
Practice address
2000 Hospital Dr
Suite 5110
Mount Pleasant, SC 29464-3764
Phone
(843) 416-6595
Fax
(843) 416-6937
NPI assigned
Oct 16, 2013
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 20710373
Diabetes Educator Registered Nurse 163WD0400X 20710373 SC Primary
Health Educator 174H00000X 71670 SC

Addresses

Primary practice location

2000 Hospital Dr
Suite 5110
Mount Pleasant, SC 29464-3764

Mailing address

2000 Hospital Dr
Suite 5110
Mount Pleasant, SC 29464-3764
Phone (843) 416-6595

Other identifiers 1

IdentifierTypeStateIssuer
20710373OtherSCDIABETES EDUCATION MANAGEMENT

Other names 1

  • Ms. Lorie Jane Shearon Former name

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

LicenseStateTypeSpecialty
20710373SCMDDiabetes Educator Registered Nurse
71670SCMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1316375942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HOSPITAL DR",
            "address_2": "SUITE 5110",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643764",
            "telephone_number": "843-416-6595",
            "fax_number": "843-416-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HOSPITAL DR",
            "address_2": "SUITE 5110",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643764",
            "telephone_number": "843-416-6595",
            "fax_number": "843-416-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARON-HANNA",
        "first_name": "LORIE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "RN,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": "20710373",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "SC",
            "license": "20710373",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "SC",
            "license": "71670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIABETES EDUCATION MANAGEMENT",
            "identifier": "20710373",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORIE",
            "last_name": "SHEARON",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "RN CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.