Individual provider Active NPI

Tracy Aniello, APRN, FNP-BC

  • Family Nurse Practitioner
  • Florence, SC
National Provider Identifier
1538444526
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2839 Issued in SC
Practice address
121 S Evander Dr
Florence, SC 29506-4212
Phone
(843) 661-1843
Fax
(843) 661-1818
NPI assigned
Oct 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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 2839 SC Primary

Addresses

Primary practice location

121 S Evander Dr
Florence, SC 29506-4212

Mailing address

121 S Evander Dr
Florence, SC 29506-4212
Phone (843) 661-1843

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2839SCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1538444526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S EVANDER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295064212",
            "telephone_number": "843-661-1843",
            "fax_number": "843-661-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S EVANDER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295064212",
            "telephone_number": "843-661-1843",
            "fax_number": "843-661-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIELLO",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.