Sara Wells, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

19482 Issued in SC

Practice address

110 E Boyce St
Manning, SC 29102-3408

Phone

(803) 435-8168

Fax

(803) 435-6825

NPI assigned

Mar 18, 2014

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

Practice roles

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.

• State of South Carolina

  • Public Health or Welfare Agency
  • Manning, SC
  • NPI 1689757239
  NPD (past)
• State of South Carolina Comptroller General

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1437575263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E BOYCE ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023408",
            "telephone_number": "803-435-8168",
            "fax_number": "803-435-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BOYCE ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023408",
            "telephone_number": "803-435-8168",
            "fax_number": "803-435-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SARA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "19482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lynn Wallace
• Emily Way, RN
• Laine Blank Way
• Sara Welch, MA, CCC-SLP
• Derhonda K. Wells
• Welvista
• Taylor Lott Whetstone
• Linda M White
• William C. Aldrich
• Bruce Barry Williams, D.O.

• Registered Nurse in Manning, SC
• Providers in Manning, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.