Organization Active NPI

Gifted Hands Care Clinic, LLC

  • Family Nurse Practitioner
  • Florence, SC
National Provider Identifier
1598405045
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GIFTED HANDS CARE CLINIC, LLC
Practice address
1353 Jefferson Dr
Florence, SC 29501-5357
Phone
(843) 687-5661
NPI assigned
Mar 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Dr. Shalondrice Michelle Ward, DNP, FNP-CNPI 1912432311
Title
Owner
Phone
(843) 687-5661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1353 Jefferson Dr
Florence, SC 29501-5357

Mailing address

413 E Jackson St
Lamar, SC 29069-9164
Phone (843) 687-5661

Other identifiers 1

IdentifierTypeStateIssuer
1912432311MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Laptop

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1598405045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E JACKSON ST",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "290699164",
            "telephone_number": "843-687-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 JEFFERSON DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015357",
            "telephone_number": "843-687-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HANDS CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SHALONDRICE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-687-5661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912432311",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "1353 Jefferson Dr",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295015357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 31, 2022; 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.