Individual provider Active NPI

Jonathan Cousar, RN,BSN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Rock Hill, SC
National Provider Identifier
1649776840
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
203834 Issued in SC
Practice address
1668 Herlong CT
Rock Hill, SC 29732-1193
Phone
(803) 323-6383
Fax
(803) 328-2860
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 203834 SC Primary

Addresses

Primary practice location

1668 Herlong CT
Rock Hill, SC 29732-1193

Mailing address

1668 Herlong CT
Rock Hill, SC 29732-1193
Phone (803) 323-6383

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

LicenseStateTypeSpecialty
203834SCMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1649776840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 HERLONG CT",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321193",
            "telephone_number": "803-323-6383",
            "fax_number": "803-328-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 HERLONG CT",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321193",
            "telephone_number": "803-323-6383",
            "fax_number": "803-328-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSAR",
        "first_name": "JONATHAN",
        "credential": "RN,BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "203834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.