Individual provider Active NPI

Grenda S Dountz, R.N.

  • School Registered Nurse
  • Fort Mill, SC
National Provider Identifier
1316383169
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
73826 Issued in SC
Practice address
2346 Pleasant Rd
Fort Mill, SC 29708-9216
Phone
(803) 835-0070
Fax
(803) 835-0099
NPI assigned
May 21, 2013
Last updated
May 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 73826 SC Primary

Addresses

Primary practice location

2346 Pleasant Rd
Fort Mill, SC 29708-9216

Mailing address

2233 Deerfield Dr
Fort Mill, SC 29715-6941

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
73826SCMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1316383169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 DEERFIELD DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297156941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 PLEASANT RD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297089216",
            "telephone_number": "803-835-0070",
            "fax_number": "803-835-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUNTZ",
        "first_name": "GRENDA",
        "middle_name": "S",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "73826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.