Active NPI
Susan T Brown
- School Registered Nurse
- Latta, SC
National Provider Identifier
1386983294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 22218
- Practice address
- 122 Latimer St
Latta, SC 29565-1828 - Phone
- (843) 752-5295
- NPI assigned
- Feb 13, 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 22218 | SC | Primary |
Addresses
Primary practice location
122 Latimer St
Latta, SC 29565-1828
Mailing address
122 Latimer St
Latta, SC 29565-1828
Phone (843) 752-5295
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 |
|---|---|---|---|
| 22218 | SC | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1386983294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 LATIMER ST",
"city": "LATTA",
"state": "SC",
"postal_code": "295651828",
"telephone_number": "843-752-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 LATIMER ST",
"city": "LATTA",
"state": "SC",
"postal_code": "295651828",
"telephone_number": "843-752-5295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SUSAN",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "SC",
"license": "22218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Latta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.