Susan B Pelc, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

68657 Issued in SC

Practice address

255 E Pine Log Rd
Aiken, SC 29803-6159

Phone

(803) 641-2580

Fax

(803) 641-2449

NPI assigned

Jun 7, 2013

Last updated

Jun 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1649618018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E PINE LOG RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036159",
            "telephone_number": "803-641-2580",
            "fax_number": "803-641-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E PINE LOG RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036159",
            "telephone_number": "803-641-2580",
            "fax_number": "803-641-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELC",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "68657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donovan Peace, DNAP, CRNA
• Peak Rehabilitation, Fitness and Performance Center LLC
• Pediatric Therapy of Aiken, LLC (Pediatric Therapy Associates, LLC)
• Pediatric Therapy of Aiken, LLC
• Calvreka Monique Peeples
• Pelvic Prime, LLC
• Weems R Pennington III, MD
• Taylor Greene Pennisi, PHARMD
• Pepper Hill SNF Operations LLC (Aiken Rehabilitation and Care Center)
• Shannon W Pepper, RPH

• School Registered Nurse in Aiken, SC
• Providers in Aiken, SC by specialty
• School Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.