Active NPI
Shawna Heglar
- Nurse Practitioner
- Columbia, SC
National Provider Identifier
1346644903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 19109
- Practice address
- 6439 Garners Ferry Rd
Columbia, SC 29209-1638 - Phone
- (803) 776-4000
- NPI assigned
- Oct 10, 2014
- Last updated
- Jul 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 19109 | SC | Primary |
Addresses
Primary practice location
6439 Garners Ferry Rd
Columbia, SC 29209-1638
Mailing address
317 Single Tree Cir
Haw River, NC 27258-5405
Phone (704) 223-1508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19109 | Other | SC | SC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160901002494 | SC | Order and Referring Only - Nurse Practitioner | 3577859446 |
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": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1346644903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 SINGLE TREE CIR",
"city": "HAW RIVER",
"state": "NC",
"postal_code": "272585405",
"telephone_number": "704-223-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6439 GARNERS FERRY RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292091638",
"telephone_number": "803-776-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGLAR",
"first_name": "SHAWNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-10",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "19109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC LICENSE",
"identifier": "19109",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.