Individual provider Active NPI

Patricia Denese Shuford, RN

  • Registered Nurse
  • Winnsboro, SC
National Provider Identifier
1447878392
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
250186 Issued in SC
Practice address
1136 Kincaid Bridge Rd
Winnsboro, SC 29180-7116
Phone
(803) 635-6481
Fax
(803) 635-1410
NPI assigned
Jul 8, 2020
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 250186 SC Primary

Addresses

Primary practice location

1136 Kincaid Bridge Rd
Winnsboro, SC 29180-7116

Mailing address

1136 Kincaid Bridge Rd
Winnsboro, SC 29180-7116
Phone (803) 635-6481

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address shuforp@dhec.sc.gov Direct
Direct Messaging Address shuforp@dhec.sc.gov Direct

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

LicenseStateTypeSpecialty
250186SCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1447878392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 KINCAID BRIDGE RD",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807116",
            "telephone_number": "803-635-6481",
            "fax_number": "803-635-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 KINCAID BRIDGE RD",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807116",
            "telephone_number": "803-635-6481",
            "fax_number": "803-635-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFORD",
        "first_name": "PATRICIA",
        "middle_name": "DENESE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "250186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shuforp@dhec.sc.gov",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1136 Kincaid Bridge Rd",
            "city": "Winnsboro",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291807116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shuforp@dhec.sc.gov",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1136 Kincaid Bridge Rd",
            "city": "Winnsboro",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291807116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winnsboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.