Active NPI
Nicholas Prinz
- Student in an Organized Health Care Education/Training Program
- Charleston, SC
National Provider Identifier
1326988593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- LL97420
- Practice address
- 135 Rutledge Ave FL 8
Charleston, SC 29425-8903 - Phone
- (843) 876-0888
- NPI assigned
- Mar 30, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LL97420 | SC | Primary |
Addresses
Primary practice location
135 Rutledge Ave FL 8
Charleston, SC 29425-8903
Mailing address
3013 Northlake Dr
Henrico, VA 23233-6638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1326988593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 NORTHLAKE DR",
"city": "HENRICO",
"state": "VA",
"postal_code": "232336638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 RUTLEDGE AVE FL 8",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258903",
"telephone_number": "843-876-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINZ",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-03-30",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "SC",
"license": "LL97420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.