Individual provider Active NPI

Stacy Kimberly Emond, FNP-C

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1528610565
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23013 Issued in SC
Practice address
1751 E Main St
Spartanburg, SC 29307-2230
Phone
(864) 573-5313
NPI assigned
Jul 10, 2019
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23013 SC Primary

Addresses

Primary practice location

1751 E Main St
Spartanburg, SC 29307-2230

Mailing address

1751 E Main St
Spartanburg, SC 29307-2230
Phone (864) 573-5313

Other practice location 1

2709 Pelham Rd Ste B
Greenville, SC 29615-4083
Phone (864) 537-0050

Other practice location 2

1494 W Wade Hampton Blvd Ste C
Greer, SC 29650-1166
Phone (864) 849-8999

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200127001471 SC Practitioner - Nurse Practitioner 6002241742 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23013SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Urgent Care LLC CurrentSince Feb 15, 2022 Accepting new patients

Locations

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

440 N Duncan Byp
Union, SC 29379
Phone (864) 424-9576

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1528610565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072230",
            "telephone_number": "864-573-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072230",
            "telephone_number": "864-573-5313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2709 Pelham Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154083",
            "country_code": "US",
            "telephone_number": "864-537-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1494 W Wade Hampton Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296501166",
            "country_code": "US",
            "telephone_number": "864-849-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMOND",
        "first_name": "STACY",
        "middle_name": "KIMBERLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.