Individual provider Active NPI

Carolyn Schmutz Leonard, NP

  • Family Nurse Practitioner
  • Seneca, SC
National Provider Identifier
1356896989
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25475 Issued in SC
Practice address
301 Memorial Dr
Seneca, SC 29672-9491
Phone
(864) 882-4664
Fax
(864) 882-4478
NPI assigned
Aug 24, 2016
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25475 SC Primary

Addresses

Primary practice location

301 Memorial Dr
Seneca, SC 29672-9491

Mailing address

301 Memorial Dr
Seneca, SC 29672-9491
Phone (864) 882-4664

Other names 1

  • Carolyn Joanne Schmutz Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250501001454 SC Practitioner - Nurse Practitioner 6002197167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rosa Clark Medical Clinic Association, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Rosa Clark Medical Center CurrentSince Feb 1, 2025 Accepting new patients

Locations

210 S Oak St
Seneca, SC 29678
Phone (864) 614-5990

301 Memorial Dr
Seneca, SC 29672
Phone (864) 614-5617

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1356896989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729491",
            "telephone_number": "864-882-4664",
            "fax_number": "864-882-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729491",
            "telephone_number": "864-882-4664",
            "fax_number": "864-882-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "CAROLYN",
        "middle_name": "SCHMUTZ",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "SCHMUTZ",
            "middle_name": "JOANNE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.