Active NPI
Susan B. Keith, R.N.
- Registered Nurse
- Moore, SC
National Provider Identifier
1437590239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 29500
- Practice address
- 1845 Old Anderson Mill Rd
Moore, SC 29369-9409 - Phone
- (864) 576-6539
- Fax
- (864) 595-2452
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 29500 | SC | Primary |
Addresses
Primary practice location
1845 Old Anderson Mill Rd
Moore, SC 29369-9409
Mailing address
1845 Old Anderson Mill Rd
Moore, SC 29369-9409
Phone (864) 576-6539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29500 | SC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1437590239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 OLD ANDERSON MILL RD",
"city": "MOORE",
"state": "SC",
"postal_code": "293699409",
"telephone_number": "864-576-6539",
"fax_number": "864-595-2452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 OLD ANDERSON MILL RD",
"city": "MOORE",
"state": "SC",
"postal_code": "293699409",
"telephone_number": "864-576-6539",
"fax_number": "864-595-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "SUSAN",
"middle_name": "B.",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "29500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.