The Clinic

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

A1897 Issued in SC

Legal business name

THE CLINIC

Practice address

157 William Hilton Pkwy
Hilton Head Island, SC 29926-5218

Phone

(843) 681-8260

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Giuseppe Balin Deabate, APRN

Title

Owner

Phone

(843) 338-1337

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• La Clinica Other name

Tax ID family

La Clinica2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• La Clinica

  • Nurse Practitioner
  • Hilton Head Island, SC
  • NPI 1265752588
  NPD tax ID

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1639422892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WILLIAM HILTON PKWY",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299265218",
            "telephone_number": "843-681-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 WILLIAM HILTON PKWY",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299265218",
            "telephone_number": "843-681-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "DEABATE",
        "authorized_official_first_name": "GIUSEPPE",
        "authorized_official_middle_name": "BALIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-338-1337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "SC",
            "license": "A1897",
            "primary": true
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "SC",
            "license": "P1897",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "AA10337919",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0909",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Clinica",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Health Clinical Nurse Specialist in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Adult Health Clinical Nurse Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.