Active NPI
Jennifer Lynn Talley, FNP-C
- Family Nurse Practitioner
- Charleston, SC
National Provider Identifier
1407229230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19840
- Practice address
- 1137 Sam Rittenberg Blvd
Charleston, SC 29407-3360 - Phone
- (800) 427-1902
- Fax
- (419) 531-2664
- NPI assigned
- Nov 2, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19840 | SC | Primary |
Addresses
Primary practice location
1137 Sam Rittenberg Blvd
Charleston, SC 29407-3360
Mailing address
333 N Summit St FL 7
Toledo, OH 43604-2615
Phone (800) 427-1902
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
327 Aiken Hunt Cir
Columbia, SC 29223-8407
Phone (609) 848-4825
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Pain Relief Center | Current | Accepting new patients | |
| Precision Rehabilitation, LLC | Current | Accepting new patients |
Locations
2294 Otranto Rd
North Charleston, SC 29406
Phone (843) 225-2550
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Columbia, SC
- NPI 1750789236
-
- Physical Medicine & Rehabilitation Physician
- North Charleston, SC
- NPI 1699047746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407229230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST FL 7",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436042615",
"telephone_number": "800-427-1902",
"fax_number": "419-531-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 SAM RITTENBERG BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294073360",
"telephone_number": "800-427-1902",
"fax_number": "419-531-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLEY",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.