Paulette O'Neal Rumph

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22045 Issued in SC

Practice address

136-4 Forum Dr
1018
Columbia, SC 29229

Phone

(803) 836-8679

Fax

(803) 888-2007

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Elite Urgent Care LLC

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1942875984
  NPD Authorized official

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1356821904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 ROYAL LINKS DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168390",
            "telephone_number": "843-453-7560",
            "fax_number": "803-888-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-4 FORUM DR",
            "address_2": "1018",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-836-8679",
            "fax_number": "803-888-2007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504232",
            "country_code": "US",
            "telephone_number": "304-429-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUMPH",
        "first_name": "PAULETTE",
        "middle_name": "O'NEAL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2021-05-21",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Ruiz
• Margaret Ruyle Rukstalis, MD
• Ashley Joy Rumfelt, APRN
• Stephen Michael Rumfelt, PA
• Frank Rumph Sr., M.D.
• Jorden Ruppe
• Rhonda S Rush, OT
• Sydney Rush
• Carrie Lynn Rushing, RN
• Hans C Ruska, LMFT, LCMHCA

• Family Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.