NPIMap

Organization Active NPI

Anderson District 4

  • Registered Nurse
  • La France, SC
National Provider Identifier
1508103797
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
41578 Issued in SC
Legal business name
ANDERSON DISTRICT 4
Practice address
550 Williams Street
La France, SC 29656
Phone
(864) 403-2308
NPI assigned
Jan 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Sharon S Cothran, ADNNPI 1376880468
Title
Registered Nurse
Phone
(864) 403-2308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 41578 SC Primary

Addresses

Primary practice location

550 Williams Street
La France, SC 29656

Mailing address

PO Box 487
550 Williams St
Lafrance, SC 29656
Phone (864) 403-2308

Other identifiers 1

IdentifierTypeStateIssuer
SD0404MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Anderson District 46 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the 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": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1508103797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "address_2": "550 WILLIAMS ST",
            "city": "LAFRANCE",
            "state": "SC",
            "postal_code": "29656",
            "telephone_number": "864-403-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WILLIAMS STREET",
            "city": "LA FRANCE",
            "state": "SC",
            "postal_code": "29656",
            "telephone_number": "864-403-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON DISTRICT 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "COTHRAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "864-403-2308",
        "authorized_official_credential": "ADN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "41578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0404",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La France, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.