Organization Active NPI

Life Center Family Medicine

  • Family Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1477829703
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LIFE CENTER FAMILY MEDICINE
Practice address
679 Orangeburg Rd Ste F
Summerville, SC 29483-8914
Phone
(843) 261-2600
Fax
(888) 839-6837
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Mrs. Rochelle N Judd
Title
FNP/Aprn
Phone
(843) 261-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

679 Orangeburg Rd Ste F
Summerville, SC 29483-8914

Mailing address

679 Orangeburg Rd Ste F
Summerville, SC 29483-8914
Phone (843) 261-2600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1477829703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 ORANGEBURG RD STE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838914",
            "telephone_number": "843-261-2600",
            "fax_number": "888-839-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 ORANGEBURG RD STE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838914",
            "telephone_number": "843-261-2600",
            "fax_number": "888-839-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CENTER FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FNP/APRN",
        "authorized_official_telephone_number": "843-261-2600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.