Individual provider Active NPI

Mindi Owens Shifflett

  • Registered Nurse
  • West Columbia, SC
National Provider Identifier
1578411351
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
75980 Issued in SC
Practice address
132 Vista View Dr
West Columbia, SC 29172-2306
Phone
(843) 737-3734
NPI assigned
Mar 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 75980 SC Primary

Addresses

Primary practice location

132 Vista View Dr
West Columbia, SC 29172-2306

Mailing address

132 Vista View Dr
West Columbia, SC 29172-2306
Phone (843) 737-3734

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
75980SCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1578411351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 VISTA VIEW DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722306",
            "telephone_number": "843-737-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 VISTA VIEW DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722306",
            "telephone_number": "843-737-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFLETT",
        "first_name": "MINDI",
        "middle_name": "OWENS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "75980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.