Individual provider Active NPI

Jennifer McCall, RN

  • Infusion Therapy Registered Nurse
  • Seneca, SC
National Provider Identifier
1336720838
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
229359 Issued in SC
Practice address
609 N Townville St
Seneca, SC 29678-2642
Phone
(864) 882-2245
NPI assigned
Apr 16, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
229359SCMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of South Carolina CurrentSince Apr 20, 2021 Accepting new patients
State of South Carolina Comptroller General PastSince Apr 20, 2021 Accepting new patients

Locations

609 N Townville St
Seneca, SC 29678
Phone (864) 508-2818

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 229359 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

609 N Townville St
Seneca, SC 29678-2642

Mailing address

350 Rocky Knoll Rd
Walhalla, SC 29691-3928
Phone (864) 784-0895

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2021.

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1336720838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ROCKY KNOLL RD",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296913928",
            "telephone_number": "864-784-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N TOWNVILLE ST",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782642",
            "telephone_number": "864-882-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "SC",
            "license": "229359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.