Active NPI
Melanie Kitchings Pniewski, CPNP
- Pediatric Nurse Practitioner
- Aiken, SC
National Provider Identifier
1407283229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 18600
- Practice address
- 215 Town Creek Rd
Aiken, SC 29803-5843 - Phone
- (803) 508-7651
- Fax
- (803) 508-7655
- NPI assigned
- Oct 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN165910 | GA | |
| Pediatric Clinical Nurse Specialist | 364SP0200X | 18600 | SC | |
| Pediatric Nurse Practitioner | 363LP0200X | 18600 | SC | Primary |
Addresses
Primary practice location
215 Town Creek Rd
Aiken, SC 29803-5843
Mailing address
PO Box 13955
Charleston, SC 29422-3955
Phone (803) 508-7651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3157 | Medicaid | SC |
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN165910 | GA | MD | Pediatric Nurse Practitioner |
| 18600 | SC | MD | Pediatric Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Doctors LLC | Past | Accepting new patients |
Interoperability endpoints
- mpniewski@tiffanypeds.gwaydirect.com
- mpniewski@libertydoctors.ssdirect.aprima.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Moncks Corner, SC
- NPI 1144299470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1407283229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13955",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294223955",
"telephone_number": "803-508-7651",
"fax_number": "803-508-7655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 TOWN CREEK RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035843",
"telephone_number": "803-508-7651",
"fax_number": "803-508-7655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PNIEWSKI",
"first_name": "MELANIE",
"middle_name": "KITCHINGS",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-11",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN165910",
"primary": false
},
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "SC",
"license": "18600",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "18600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3157",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.