Active NPI
Carolane Bagnal, RN,BSN
- Case Manager/Care Coordinator
- Columbia, SC
National Provider Identifier
1629446414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 25945
- Practice address
- 2100 Bull St
Columbia, SC 29201-2104 - Phone
- (803) 898-1569
- NPI assigned
- Sep 10, 2015
- Last updated
- Sep 10, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 25945 | SC | Primary |
Addresses
Primary practice location
2100 Bull St
Columbia, SC 29201-2104
Mailing address
108 Tee Box CT
St Matthews, SC 29135-8586
Phone (803) 898-1569
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25945 | SC | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1629446414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 TEE BOX CT",
"city": "ST MATTHEWS",
"state": "SC",
"postal_code": "291358586",
"telephone_number": "803-898-1569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 BULL ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012104",
"telephone_number": "803-898-1569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGNAL",
"first_name": "CAROLANE",
"name_prefix": "Ms.",
"credential": "RN,BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-10",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "SC",
"license": "25945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.