Active NPI
Mary Dene Cohen, FNPC
- Family Nurse Practitioner
- Spartanburg, SC
National Provider Identifier
1316980790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN2305
- Practice address
- 1330 Boiling Springs Rd
Suite 2700
Spartanburg, SC 29303-2244 - Phone
- (864) 583-0053
- Fax
- (864) 583-0390
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN2305 | SC | Primary |
Addresses
Primary practice location
1330 Boiling Springs Rd
Suite 2700
Spartanburg, SC 29303-2244
Mailing address
1330 Boiling Springs Rd
Suite 2700
Spartanburg, SC 29303-2244
Phone (864) 583-0053
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305 | SC | MD | General Practice Dentistry |
| APN2305 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1316980790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD",
"address_2": "SUITE 2700",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293032244",
"telephone_number": "864-583-0053",
"fax_number": "864-583-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD",
"address_2": "SUITE 2700",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293032244",
"telephone_number": "864-583-0053",
"fax_number": "864-583-0390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MARY",
"middle_name": "DENE",
"credential": "FNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN2305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.