Individual provider Active NPI

Martha Frances Calvert

  • Licensed Practical Nurse
  • Spartanburg, SC
National Provider Identifier
1548500341
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
P15933 Issued in SC
Practice address
355 Cedar Springs Rd
Spartanburg, SC 29302-4628
Phone
(864) 585-7711
Fax
(864) 577-7621
NPI assigned
Feb 15, 2013
Last updated
Feb 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X P15933 SC Primary

Addresses

Primary practice location

355 Cedar Springs Rd
Spartanburg, SC 29302-4628

Mailing address

355 Cedar Springs Rd
Spartanburg, SC 29302-4628
Phone (864) 585-7711

Other identifiers 1

IdentifierTypeStateIssuer
P15933MedicaidSC

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
P15933SCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina School for the Deaf and the Blind Past Accepting new patients

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": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1548500341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CEDAR SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024628",
            "telephone_number": "864-585-7711",
            "fax_number": "864-577-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CEDAR SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024628",
            "telephone_number": "864-585-7711",
            "fax_number": "864-577-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "MARTHA",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "P15933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P15933",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.