Individual provider Active NPI

Renee I. L'Ecuyer, APRN-BC

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1396787669
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1243 Issued in SC
Practice address
2117 Gervais St
Columbia, SC 29204-1805
Phone
(803) 748-1181
Fax
(803) 748-1185
NPI assigned
Jun 12, 2006
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1243 SC Primary
Emergency Medicine Physician 207P00000X 1243 SC

Addresses

Primary practice location

2117 Gervais St
Columbia, SC 29204-1805

Mailing address

2117 Gervais St
Columbia, SC 29204-1805
Phone (803) 748-1181

Other identifiers 1

IdentifierTypeStateIssuer
NP0479MedicaidSC

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1243SCMDAthletic Trainer
F1243SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol ER Group LLC Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Capitol ER Group LLC Emergency Medicine Past Accepting new patients
Sandhills Medical Foundation, Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1396787669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 GERVAIS ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041805",
            "telephone_number": "803-748-1181",
            "fax_number": "803-748-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 GERVAIS ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041805",
            "telephone_number": "803-748-1181",
            "fax_number": "803-748-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "L'ECUYER",
        "first_name": "RENEE",
        "middle_name": "I.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F1243",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "1243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0479",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.