Ingrid Patricia Pearson, MS RN CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · Batesburg, SC
NPI 1407945355 · NPPES record last updated Mar 7, 2011
Key facts
- NPI
- 1407945355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 1003 (SC)
- Practice address
- 120 W Church St
Batesburg, SC 29006-2107 - Phone
- (803) 532-2208
- Fax
- (803) 604-0207
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003 | SC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eau Claire Cooperative Health Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1003 | SC | Yes |
Addresses
Primary practice location
120 W Church St
Batesburg, SC 29006-2107
Mailing address
120 W Church St
Batesburg-Leesville, SC 29006-2107
Phone (803) 532-2208
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0181 | Medicaid | SC |
Other providers in Batesburg, SC
- Dana C Lybrand
- Ashley Eubanks McCain
- Ryan McDuffie
- Megan Eargle Miller
- Morgan'S Pharmacy of Batesburg
- Rebecca Pinero
- Jessica Anne Prestia
- Gene Elliott Rhoad
- Brian Rhodes
- Ellen B. Rikard
All providers in Batesburg, SC · Pediatric Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.