Active NPI
Tameika Hunter, NP
- Family Nurse Practitioner
- Clover, SC
National Provider Identifier
1326597329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20399
- Practice address
- 4724 Charlotte Hwy
Clover, SC 29710-8095 - Phone
- (866) 389-2727
- NPI assigned
- Oct 2, 2016
- Last updated
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 294777 | NC | |
| Family Nurse Practitioner | 363LF0000X | 20399 | SC | Primary |
Addresses
Primary practice location
4724 Charlotte Hwy
Clover, SC 29710-8095
Mailing address
9900 Oak Run Dr Apt a
Charlotte, NC 28210-0138
Phone (803) 351-2490
Other practice location 1
880 W Moultrie St
Winnsboro, SC 29180-2411
Phone (803) 815-5555
Other practice location 2
6911 Shannon Willow Rd Ste 500
Charlotte, NC 28226-1351
Phone (704) 800-7414
Other practice location 3
880 W Moultrie St
Winnsboro, SC 29180-2411
Phone (803) 815-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363LF0000X | Medicaid | SC |
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 |
|---|---|---|---|
| 294777 | NC | MD | Family Nurse Practitioner |
| 20399 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1326597329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 OAK RUN DR APT A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100138",
"telephone_number": "803-351-2490",
"fax_number": "401-216-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4724 CHARLOTTE HWY",
"city": "CLOVER",
"state": "SC",
"postal_code": "297108095",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "880 W Moultrie St",
"address_purpose": "LOCATION",
"city": "Winnsboro",
"state": "SC",
"postal_code": "291802411",
"country_code": "US",
"telephone_number": "803-815-5555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6911 Shannon Willow Rd Ste 500",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282261351",
"country_code": "US",
"telephone_number": "704-800-7414",
"fax_number": "704-817-3390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "880 W Moultrie St",
"address_purpose": "LOCATION",
"city": "Winnsboro",
"state": "SC",
"postal_code": "291802411",
"country_code": "US",
"telephone_number": "803-815-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNTER",
"first_name": "TAMEIKA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-02",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "294777",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363LF0000X",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clover, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.