Organization Active NPI

Convenient Health and Wellness Virtual Care

  • Community Health Nurse Practitioner
  • Lake City, SC
National Provider Identifier
1447909486
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
CONVENIENT HEALTH AND WELLNESS VIRTUAL CARE
Practice address
678 Moore St
Lake City, SC 29560-4273
Phone
(843) 687-0214
NPI assigned
Mar 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Latohsa Epps, FNP
Title
Emp
Phone
(843) 687-0214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

678 Moore St
Lake City, SC 29560-4273

Mailing address

PO Box 237
Lake City, SC 29560-0237
Phone (843) 687-0214

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1447909486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295600237",
            "telephone_number": "843-687-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 MOORE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295604273",
            "telephone_number": "843-687-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT HEALTH AND WELLNESS VIRTUAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "LATOHSA",
        "authorized_official_title_or_position": "EMP",
        "authorized_official_telephone_number": "843-687-0214",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.