Individual provider Active NPI

Eleanore Kathleen O'Shea, APRN

  • Nurse Practitioner
  • Hilton Head, SC
National Provider Identifier
1598082638
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
54-02723 Issued in SC
Practice address
11 Hospital Center CMNS Ste 100
Hilton Head, SC 29926-2842
Phone
(843) 681-5062
Fax
(843) 681-5063
NPI assigned
Apr 29, 2010
Last updated
Apr 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 54-02723 SC Primary

Addresses

Primary practice location

11 Hospital Center CMNS Ste 100
Hilton Head, SC 29926-2842

Mailing address

11 Hospital Center CMNS Ste 100
Hilton Head, SC 29926-2842
Phone (843) 681-5062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54-02723SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management ASC LLC PastSince Jan 1, 2004 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": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1598082638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HOSPITAL CENTER CMNS STE 100",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262842",
            "telephone_number": "843-681-5062",
            "fax_number": "843-681-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HOSPITAL CENTER CMNS STE 100",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262842",
            "telephone_number": "843-681-5062",
            "fax_number": "843-681-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "ELEANORE",
        "middle_name": "KATHLEEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "54-02723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

Verify at the official NPI Registry.