Active NPI
Terry B Lupo
- School Registered Nurse
- N Charleston, SC
National Provider Identifier
1598100455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN.36325
- Practice address
- 4542 Simms Ave
N Charleston, SC 29405-5256 - Phone
- (843) 529-4616
- Fax
- (843) 529-3903
- NPI assigned
- May 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN.36325 | SC | Primary |
Addresses
Primary practice location
4542 Simms Ave
N Charleston, SC 29405-5256
Mailing address
2720 Brickmill LN
Mount Pleasant, SC 29466-7911
Phone (843) 856-9246
Other names 1
- Ms. Terry A Bean
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.36325 | SC | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1598100455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 BRICKMILL LN",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294667911",
"telephone_number": "843-856-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4542 SIMMS AVE",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294055256",
"telephone_number": "843-529-4616",
"fax_number": "843-529-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPO",
"first_name": "TERRY",
"middle_name": "B",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-06",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "SC",
"license": "RN.36325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERRY",
"last_name": "BEAN",
"middle_name": "A",
"prefix": "MS.",
"credential": "R.N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.