Deborah J Perdue, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

612224 Issued in SC

Practice address

3180 Thomasina McPherson Blvd
North Charleston, SC 29405-8283

Phone

(843) 745-2184

Fax

(843) 745-2182

NPI assigned

Jan 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1477205375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 THOMASINA MCPHERSON BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058283",
            "telephone_number": "843-745-2184",
            "fax_number": "843-745-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 THOMASINA MCPHERSON BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058283",
            "telephone_number": "843-745-2184",
            "fax_number": "843-745-2182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 Maryland Ave Apt B",
            "address_purpose": "LOCATION",
            "city": "Charleston AFB",
            "state": "SC",
            "postal_code": "294045592",
            "country_code": "US",
            "telephone_number": "843-621-6067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "612224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.