McKinley Nicole Pierce, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002091690 Issued in VA

Practice address

100 Charlesfort Way
Moncks Corner, SC 29461-8883

Phone

(803) 552-5161

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1407431067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHARLESFORT WAY",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618883",
            "telephone_number": "803-552-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHARLESFORT WAY",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618883",
            "telephone_number": "803-552-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MCKINLEY",
        "middle_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002091690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michele Perry
• Katherine M. Peterson-Crain, LPN
• Amanda Nicole Petrin, DMD
• Lindsey Pezzo, PT
• Sarah Philolius, RDN
• Wendy M. Pinder, MA
• Madeline Grace Pinson, PT, DPT
• Plantation Eyecare
• Heather Davis Poole, PHARMD
• Carl R Potts, MD

• Licensed Practical Nurse in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.