Active NPI
Sandra S Williams, RN
- School Registered Nurse
- Woodruff, SC
National Provider Identifier
1457796872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 26040
- Practice address
- 200 Lucy P Edwards Rd
Woodruff, SC 29388-8220 - Phone
- (864) 476-3174
- Fax
- (864) 476-7067
- NPI assigned
- Apr 30, 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 26040 | SC | Primary |
Addresses
Primary practice location
200 Lucy P Edwards Rd
Woodruff, SC 29388-8220
Mailing address
200 Lucy P Edwards Rd
Woodruff, SC 29388-8220
Phone (864) 476-3174
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 |
|---|---|---|---|
| 26040 | SC | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1457796872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LUCY P EDWARDS RD",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293888220",
"telephone_number": "864-476-3174",
"fax_number": "864-476-7067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LUCY P EDWARDS RD",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293888220",
"telephone_number": "864-476-3174",
"fax_number": "864-476-7067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SANDRA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-30",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "SC",
"license": "26040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodruff, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.