Individual provider Active NPI

Nicole Loman, APRN

  • Family Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1417319344
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20052 Issued in SC
Practice address
2707 Celanese Rd
Rock Hill, SC 29732-9406
Phone
(803) 366-4157
NPI assigned
Mar 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20052 SC Primary

Addresses

Primary practice location

2707 Celanese Rd
Rock Hill, SC 29732-9406

Mailing address

1424 Donegal Dr
Lake Wylie, SC 29710-6720
Phone (804) 721-2254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160606002529 SC Practitioner - Nurse Practitioner 2466742390 Reassigns benefits to 1 organization
I20210316002277 NC Practitioner - Nurse Practitioner 2466742390 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1417319344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 DONEGAL DR",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297106720",
            "telephone_number": "804-721-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329406",
            "telephone_number": "803-366-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAN",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.