Ineke Anastasia Tolbert, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

20544 Issued in SC

Practice address

554 Memorial Drive Ext Ste D
Greer, SC 29651-1155

Phone

(864) 612-5159

NPI assigned

Oct 20, 2016

Last updated

Jul 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1487105763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 MEMORIAL DRIVE EXT STE D",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511155",
            "telephone_number": "864-479-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 MEMORIAL DRIVE EXT STE D",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511155",
            "telephone_number": "864-612-5159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Brendan Way",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153514",
            "country_code": "US",
            "telephone_number": "864-522-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "INEKE",
        "middle_name": "ANASTASIA",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "20544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acute Care Nurse Practitioner in Greer, SC
• Providers in Greer, SC by specialty
• Acute Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.