Individual provider Active NPI

Nieves Iglesias, M.D.

  • Child & Adolescent Psychiatry Physician
  • Rock Hill, SC
National Provider Identifier
1467462226
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
15921 Issued in SC
Practice address
448 Lakeshore Pkwy Ste 110
Rock Hill, SC 29730-4264
Phone
(803) 329-3177
Fax
(803) 329-3319
NPI assigned
Aug 8, 2006
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 15921 SC Primary

Addresses

Primary practice location

448 Lakeshore Pkwy Ste 110
Rock Hill, SC 29730-4264

Mailing address

448 Lakeshore Pkwy Ste 110
Rock Hill, SC 29730-4264
Phone (803) 329-3177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000042 FL Practitioner - Psychiatry 2163596057 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15921SCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ibis Healthcare Inc CurrentSince May 13, 2008 Accepting new patients
Windmoor Healthcare Inc Psychiatry CurrentSince Jun 26, 2020 Accepting new patients
Ibis Healthcare Inc CurrentSince May 13, 2008 Accepting new patients
South Carolina Dept of Mental Health Accounting Office PastSince Sep 14, 2025 Accepting new patients

Locations

11300 US Highway 19 N
Clearwater, FL 33764
Phone (727) 541-2646

5707 N 22nd St
Tampa, FL 33610
Phone (813) 272-2244

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1467462226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 LAKESHORE PKWY STE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304264",
            "telephone_number": "803-329-3177",
            "fax_number": "803-329-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 LAKESHORE PKWY STE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304264",
            "telephone_number": "803-329-3177",
            "fax_number": "803-329-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "NIEVES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "15921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.