Active NPI
Heide Suzanne Temples, NP
- Pediatric Nurse Practitioner
- Seneca, SC
National Provider Identifier
1649254822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 54895
- Practice address
- 457-B Hwy 123 Bypass
Seneca, SC 29678 - Phone
- (864) 888-4464
- Fax
- (864) 888-4462
- NPI assigned
- Dec 1, 2005
- Last updated
- Jun 14, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 54895 | SC | Primary |
Addresses
Primary practice location
457-B Hwy 123 Bypass
Seneca, SC 29678
Mailing address
204 Catawbah Rd
Clemson, SC 29631
Phone (803) 318-4892
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1060 | Medicaid | SC | |
| RHC195 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54895 | SC | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1649254822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 CATAWBAH RD",
"city": "CLEMSON",
"state": "SC",
"postal_code": "29631",
"telephone_number": "803-318-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457-B HWY 123 BYPASS",
"city": "SENECA",
"state": "SC",
"postal_code": "29678",
"telephone_number": "864-888-4464",
"fax_number": "864-888-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLES",
"first_name": "HEIDE",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "54895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP1060",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHC195",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seneca, SC
- Danielle Robin Tate, LMSW
- Nancy Rainwater Taylor, M.S., R.D., L.D.
- Rita A. Taylor, LMT
- Taylors Eye Care
- Michael Joseph Tebalt III, MD
- Jeffrey Joseph Terpin, RPH
- Heather E Terry
- The Blue Ridge Clemson Orthopaedic ASC LLC (Blue Ridge Surgery Center)
- The Hand Center PA
- The Head and Neck Center: for Otolaryngology, Facial Plastic and Recon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.