Sena Seats Shirley, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.17502 RX Issued in SC

Practice address

1011 Tiger Blvd
Clemson, SC 29631-2915

Phone

(863) 722-9262

NPI assigned

Sep 21, 2011

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1407139959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 TIGER BLVD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312915",
            "telephone_number": "863-722-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 TIGER BLVD",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312915",
            "telephone_number": "863-722-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "SENA",
        "middle_name": "SEATS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APN.17502 RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrill Ernest Schumpert III, MD
• Martha Kaye Schumpert, DPT
• Kelli Elliott Scott, PHARMD
• Michelle Grant Scott, MSW, LISW-CP
• Jerry F Sherrill, M.D.
• Wade Hampton Shugart IV, PT, DPT, OCS
• Shazia Siddiqui, MD
• Robert N. Sieffert, O.D.
• Jocelyn B Sikes, APRN
• Elizabeth Fay Simpson, MOT, OTR/L

• Nurse Practitioner in Clemson, SC
• Providers in Clemson, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.