Active NPI
Linda M Delfosse, FNP-C
- Nurse Practitioner
- Surfside Beach, SC
National Provider Identifier
1467547950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN2108
- Practice address
- 1912 Shell CT
Surfside Beach, SC 29575-4630 - Phone
- (843) 626-2847
- NPI assigned
- Oct 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5485181 | SC | |
| Nurse Practitioner | 363L00000X | APN2108 | SC | Primary |
Addresses
Primary practice location
1912 Shell CT
Surfside Beach, SC 29575-4630
Mailing address
1912 Shell CT
Surfside Beach, SC 29575-4630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040930000940 | SC | Practitioner - Nurse Practitioner | 9133198609 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN2108 | SC | MD | Nurse Practitioner |
| 5485181 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Care Therapy and Psychology Clinic | Current | Accepting new patients | |
| Rosalyn Cares Consulting LLC | Family | Current | Accepting new patients |
| Primary Medical, LLC | Past | Accepting new patients | |
| Rivertown Primary Medical | Past | Accepting new patients | |
| Carolina Coastal Family Medicine PA | Past | Accepting new patients | |
| James M Vest MD PC | Past | Accepting new patients | |
| James M. Vest, MD PC | Past | Accepting new patients |
Locations
1801 W Evans St
Ste 107
Florence, SC 29501
Phone (888) 918-2415
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Florence, SC
- NPI 1619629375
-
- Primary Care Clinic/Center
- Myrtle Beach, SC
- NPI 1881905032
-
- Family Medicine Physician
- Surfside Beach, SC
- NPI 1710065941
-
- Family Medicine Physician
- Surfside Beach, SC
- NPI 1013066042
-
- Family Medicine Physician
- Surfside Beach, SC
- NPI 1407869886
-
- Family Medicine Physician
- Conway, SC
- NPI 1770692808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1467547950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 SHELL CT",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295754630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 SHELL CT",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295754630",
"telephone_number": "843-626-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELFOSSE",
"first_name": "LINDA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "5485181",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "APN2108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surfside Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.