Individual provider Active NPI

Mattie Fuerst, FNP-C

  • Primary Care Nurse Practitioner
  • Conway, SC
National Provider Identifier
1326963224
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
32414 Issued in SC
Practice address
4300 Highway 90
Conway, SC 29526-9630
Phone
(843) 399-3377
Fax
(843) 399-3378
NPI assigned
Aug 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 32414 SC Primary

Addresses

Primary practice location

4300 Highway 90
Conway, SC 29526-9630

Mailing address

300 Singleton Ridge Rd
Conway, SC 29526-9142

Other practice location 1

1600 Farrow Pkwy Unit B3
Myrtle Beach, SC 29577-2011
Phone (843) 839-4095

Other practice location 2

1301 Creel Street
Conway, SC 29527-5018
Phone (843) 248-4414

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

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1326963224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HIGHWAY 90",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269630",
            "telephone_number": "843-399-3377",
            "fax_number": "843-399-3378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Farrow Pkwy Unit B3",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295772011",
            "country_code": "US",
            "telephone_number": "843-839-4095",
            "fax_number": "843-839-4096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Creel Street",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295275018",
            "country_code": "US",
            "telephone_number": "843-248-4414",
            "fax_number": "843-248-3781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUERST",
        "first_name": "MATTIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "32414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.