Individual provider Active NPI

Patricia Porter, APRN

  • Community Health Registered Nurse
  • North Charleston, SC
National Provider Identifier
1437558228
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
18879 Issued in SC
Practice address
2070 Northbrook Blvd
Ste a-20
North Charleston, SC 29406-9252
Phone
(843) 953-4302
NPI assigned
Aug 18, 2014
Last updated
Aug 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 18879 SC Primary

Addresses

Primary practice location

2070 Northbrook Blvd
Ste a-20
North Charleston, SC 29406-9252

Mailing address

2070 Northbrook Blvd
Ste a-20
North Charleston, SC 29406-9252
Phone (843) 953-4302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180313002144 SC Practitioner - Nurse Practitioner 8224390190 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18879SCMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc. Current Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Oct 15, 2022 Accepting new patients
Fetter Health Care Network Inc CurrentSince Jan 3, 2018 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Jan 30, 2019 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Oct 15, 2022 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Dec 12, 2018 Accepting new patients

Locations

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

51 Nassau St
Charleston, SC 29403

5225 Highway 165
Hollywood, SC 29449
Phone (843) 670-5474

106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1437558228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 NORTHBROOK BLVD",
            "address_2": "STE A-20",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069252",
            "telephone_number": "843-953-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 NORTHBROOK BLVD",
            "address_2": "STE A-20",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069252",
            "telephone_number": "843-953-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "PATRICIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "18879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.