Individual provider Active NPI

Jaime Nicole Stuewer, APRN

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1487084604
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 18712 Issued in SC
Practice address
1850 Sam Rittenberg Blvd
Ste. B
Charleston, SC 29407-4936
Phone
(843) 793-6093
Fax
(843) 793-6090
NPI assigned
Nov 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 9999 SC
Family Nurse Practitioner 363LF0000X APN 18712 SC Primary

Addresses

Primary practice location

1850 Sam Rittenberg Blvd
Ste. B
Charleston, SC 29407-4936

Mailing address

1850 Sam Rittenberg Blvd
Ste. B
Charleston, SC 29407-4936
Phone (843) 793-6093

Other identifiers 1

IdentifierTypeStateIssuer
9999OtherSCSC MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18712SCMDClinical Social Worker
9999SCMDMedical Physician Assistant
APN 18712SCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1487084604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SAM RITTENBERG BLVD",
            "address_2": "STE. B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074936",
            "telephone_number": "843-793-6093",
            "fax_number": "843-793-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SAM RITTENBERG BLVD",
            "address_2": "STE. B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074936",
            "telephone_number": "843-793-6093",
            "fax_number": "843-793-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUEWER",
        "first_name": "JAIME",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "9999",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN 18712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE",
            "identifier": "9999",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.