Individual provider Active NPI

Scheele Allan Baldino Esporo

  • Registered Nurse
  • Rock Hill, SC
National Provider Identifier
1366220576
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
250406 Issued in SC
Practice address
1070 Heckle Blvd Ste 3000
Rock Hill, SC 29732-2853
Phone
(803) 909-7300
NPI assigned
Sep 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 250406 SC Primary

Addresses

Primary practice location

1070 Heckle Blvd Ste 3000
Rock Hill, SC 29732-2853

Mailing address

1070 Heckle Blvd Ste 3000
Rock Hill, SC 29732-2853
Phone (803) 909-7300

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

State licenses

LicenseStateTypeSpecialty
250406SCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1366220576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 HECKLE BLVD STE 3000",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322853",
            "telephone_number": "803-909-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 HECKLE BLVD STE 3000",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322853",
            "telephone_number": "803-909-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPORO",
        "first_name": "SCHEELE ALLAN",
        "middle_name": "BALDINO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "250406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.