Lizzie S Hannibal, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

64789 Issued in SC

Practice address

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442

Phone

(803) 395-2200

Fax

(803) 395-2237

NPI assigned

Dec 1, 2014

Last updated

Jan 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1437556875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161245",
            "telephone_number": "803-395-4497",
            "fax_number": "803-395-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SAINT MATTHEWS RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181442",
            "telephone_number": "803-395-2200",
            "fax_number": "803-395-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNIBAL",
        "first_name": "LIZZIE",
        "middle_name": "S",
        "credential": "CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "SC",
            "license": "64789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Hampton
• Francis S Hane, MD
• Brittany Ellen Hanes
• Ciera M Hanes, LMT
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Ester Rose Hare, MD.PHD.FACP
• Amy Harig, PHARMD, BCPS
• George Harkness, MHA, ATC
• Marilyn Harper, DIRECTOR
• Sandra Lynn Harris, MS, MSW, LISW-CP

• Diabetes Educator Registered Nurse in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Diabetes Educator Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.