Carla Dorn, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.20194 P Issued in SC

Practice address

21 Star Rd
Edgefield, SC 29824

Phone

(803) 637-4035

NPI assigned

Mar 21, 2014

Last updated

Mar 21, 2014By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

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.

• State of South Carolina

  dba SC Dhec

  • Public Health or Welfare Agency
  • Edgefield, SC
  • NPI 1619051893
  NPD (past)
• State of South Carolina Comptroller General

  dba Veteran Village

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1376960955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 STAR RD",
            "city": "EDGEFIELD",
            "state": "SC",
            "postal_code": "29824",
            "telephone_number": "803-637-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 STAR RD",
            "city": "EDGEFIELD",
            "state": "SC",
            "postal_code": "29824",
            "telephone_number": "803-637-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "CARLA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "LPN.20194 P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Heiss Culver, RN
• Kenneth Davis, PHARMD
• Dca of Edgefield LLC (U S Renal Care Edgefield Dialysis)
• Suzanne M Derrick, LISW-CP
• Curran Ditmeyer, DO
• Dr. Jeffery R. Gosney
• Leah Miller Driver, RD, LD
• Dva Healthcare Renal Care Inc (Edgefield Dialysis)
• Edgefield Associates
• Edgefield Community Healthcare, LLC (Edgefield Post Acute)

• Licensed Practical Nurse in Edgefield, SC
• Providers in Edgefield, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.