Active NPI
Sharon S Cothran, ADN
- Registered Nurse
- Pendleton, SC
National Provider Identifier
1376880468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 41578
- Practice address
- 315 E Queen St
Pendleton, SC 29670-1721 - Phone
- (864) 403-2308
- Fax
- (864) 646-8011
- NPI assigned
- Jan 9, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 41578 | SC | Primary |
Addresses
Primary practice location
315 E Queen St
Pendleton, SC 29670-1721
Mailing address
PO Box 487
La France, SC 29656-0487
Phone (864) 403-2308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942275649 | Medicaid | SC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41578 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson District 4 | Registered Nurse | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Registered Nurse
- La France, SC
- NPI 1508103797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1376880468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 487",
"city": "LA FRANCE",
"state": "SC",
"postal_code": "296560487",
"telephone_number": "864-403-2308",
"fax_number": "864-646-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E QUEEN ST",
"city": "PENDLETON",
"state": "SC",
"postal_code": "296701721",
"telephone_number": "864-403-2308",
"fax_number": "864-646-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTHRAN",
"first_name": "SHARON",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "ADN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "41578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942275649",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.