Individual provider Active NPI

Nalini Anumula, FNP-C

  • Family Nurse Practitioner
  • Seneca, SC
National Provider Identifier
1366991671
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20434 Issued in SC
Practice address
109 Carter Park Dr
Suit # 3a
Seneca, SC 29678-1152
Phone
(864) 885-0058
NPI assigned
Sep 27, 2016
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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 20434 SC Primary

Addresses

Primary practice location

109 Carter Park Dr
Suit # 3a
Seneca, SC 29678-1152

Mailing address

50 Angus Run
Seneca, SC 29672-6657
Phone (864) 723-5043

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
I20170601001384 SC Practitioner - Nurse Practitioner 5890062426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keowee Primary Care and Internal Medicine PCGroup PAC ID 2860472743, 11 clinicians

Practice addresses (Care Compare)

109 Carter Park Dr
3A
Seneca, SC 29678-1152
Phone (864) 885-0058

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keowee Primary Care & Internal Medicine PC CurrentSince Mar 11, 2017 Accepting new patients
Medi Urgent Care Center Inc Past Accepting new patients

Locations

109 Carter Park Dr
#3A
Seneca, SC 29678
Phone (864) 885-0058

109 Carter Park Dr
Ste 3A
Seneca, SC 29678
Phone (864) 882-1420

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1366991671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ANGUS RUN",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296726657",
            "telephone_number": "864-723-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CARTER PARK DR",
            "address_2": "SUIT # 3A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781152",
            "telephone_number": "864-885-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUMULA",
        "first_name": "NALINI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.