Individual provider Active NPI

Linda M Delfosse, FNP-C

  • Nurse Practitioner
  • Surfside Beach, SC
National Provider Identifier
1467547950
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN2108 Issued in SC
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

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000940 SC Practitioner - Nurse Practitioner 9133198609 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN2108SCMDNurse Practitioner
5485181SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Care Therapy and Psychology Clinic CurrentSince Sep 6, 2022 Accepting new patients
Rosalyn Cares Consulting LLC Family CurrentSince Sep 6, 2022 Accepting new patients
Primary Medical, LLC Past Accepting new patients
Rivertown Primary Medical Past Accepting new patients
Carolina Coastal Family Medicine PA PastSince Apr 1, 2010 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.

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

Verify at the official NPI Registry.