Individual provider Active NPI

Susan W. Taylor, MSN

  • Psychiatric/Mental Health Registered Nurse
  • West Columbia, SC
National Provider Identifier
1639265275
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
PRV46841 Issued in SC
Practice address
160 Medical Circle
First Floor
West Columbia, SC 29169-3656
Phone
(803) 796-6811
Fax
(803) 796-6851
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X PRV46841 SC Primary

Addresses

Primary practice location

160 Medical Circle
First Floor
West Columbia, SC 29169-3656

Mailing address

160 Medical Circle
First Floor
West Columbia, SC 29169-3656
Phone (803) 796-6811

Other identifiers 1

IdentifierTypeStateIssuer
P00038219OtherSCRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120109000638 SC Practitioner - Certified Clinical Nurse Specialist (CNS) 6608042999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Psychiatric Services IncGroup PAC ID 5991792046, 6 clinicians

Practice addresses (Care Compare)

160 Medical Cir
FL 1
West Columbia, SC 29169-3639
Phone 803796681111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
PRV46841SCMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Psychiatric Services, Inc Psychiatric/Mental Health CurrentSince May 1, 1998 Accepting new patients

Locations

160 Medical Cir
Fl 1
West Columbia, SC 29169
Phone (803) 796-6811

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1639265275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MEDICAL CIRCLE",
            "address_2": "FIRST FLOOR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693656",
            "telephone_number": "803-796-6811",
            "fax_number": "803-796-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MEDICAL CIRCLE",
            "address_2": "FIRST FLOOR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693656",
            "telephone_number": "803-796-6811",
            "fax_number": "803-796-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SUSAN",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "SC",
            "license": "PRV46841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00038219",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.