Active NPI
Carolina D Los Angeles Sprague, RN
- Community Health Registered Nurse
- Conway, SC
National Provider Identifier
1457201659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 281945
- Practice address
- 164 Waccamaw Medical Park Dr
Conway, SC 29526-8903 - Phone
- (843) 347-4888
- Fax
- (843) 347-4102
- NPI assigned
- Jan 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 281945 | SC | Primary |
Addresses
Primary practice location
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Mailing address
319 Augusta Green Way
Myrtle Beach, SC 29579-7164
Phone (843) 347-4888
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 |
|---|---|---|---|
| 281945 | SC | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1457201659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 AUGUSTA GREEN WAY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295797164",
"telephone_number": "843-347-4888",
"fax_number": "843-347-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 WACCAMAW MEDICAL PARK DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268903",
"telephone_number": "843-347-4888",
"fax_number": "843-347-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAGUE",
"first_name": "CAROLINA",
"middle_name": "D LOS ANGELES",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-29",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "281945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.