Active NPI
Rana Hadden Hildebrandt, FNP
- Nurse Practitioner
- Okatie, SC
National Provider Identifier
1487980710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 19363
- Practice address
- 14 Okatie Center Blvd S Ste 101
Okatie, SC 29909 - Phone
- (843) 836-3800
- Fax
- (843) 705-3828
- NPI assigned
- Oct 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN152808 | GA | |
| Nurse Practitioner | 363L00000X | 19363 | SC | Primary |
Addresses
Primary practice location
14 Okatie Center Blvd S Ste 101
Okatie, SC 29909
Mailing address
14 Okatie Center Blvd S Ste 101
Okatie, SC 29909-7506
Phone (843) 836-3800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01133812 | Other | GA | RAILROAD MEDICARE |
| 003109076D | Medicaid | GA | |
| 003109076C | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150616002177 | SC | Practitioner - Nurse Practitioner | 5294913299 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN152808 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Urgentone, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Memorial Health Urgentone, Inc. | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
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- NPI 1083782189
Nurse Practitioner
-
- Emergency Medicine Physician
- Savannah, GA
- NPI 1801818844
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1487980710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 OKATIE CENTER BLVD S STE 101",
"city": "OKATIE",
"state": "SC",
"postal_code": "299097506",
"telephone_number": "843-836-3800",
"fax_number": "843-705-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 OKATIE CENTER BLVD S STE 101",
"city": "OKATIE",
"state": "SC",
"postal_code": "29909",
"telephone_number": "843-836-3800",
"fax_number": "843-705-3828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRANDT",
"first_name": "RANA",
"middle_name": "HADDEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-21",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN152808",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "19363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01133812",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003109076D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003109076C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okatie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.