Active NPI
Ieasha Raysor-Seabrook, APRN
- Family Nurse Practitioner
- North Charleston, SC
National Provider Identifier
1659726883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN20125
- Practice address
- 3815 Faber Place Dr
North Charleston, SC 29405-8533 - Phone
- (843) 767-9312
- Fax
- (843) 767-9313
- NPI assigned
- Apr 25, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN.20125APRN | SC | |
| Family Nurse Practitioner | 363LF0000X | APN20125 | SC | Primary |
Addresses
Primary practice location
3815 Faber Place Dr
North Charleston, SC 29405-8533
Mailing address
3815 Faber Place Dr
North Charleston, SC 29405-8533
Phone (843) 767-9312
Other practice location 1
1938 Charlie Hall Blvd Unit A
Charleston, SC 29414-6099
Phone (843) 554-9313
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3815 Faber Place Dr
North Charleston, SC 29405-8533
Phone (843) 767-9260
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.52 of 100
- Quality
- 84.14
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 80.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20125 | SC | MD | Neurology Physician |
| APN.20125APRN | SC | MD | Nurse Practitioner |
| APN20125 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Nephrology Associates, LLC | Current | Accepting new patients |
Locations
3815 Faber Place Dr
North Charleston, SC 29405
Phone (843) 767-9260
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0900078
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.
-
- Nephrology Physician
- North Charleston, SC
- NPI 1629054960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1659726883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 FABER PLACE DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294058533",
"telephone_number": "843-767-9312",
"fax_number": "843-767-9313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 FABER PLACE DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294058533",
"telephone_number": "843-767-9312",
"fax_number": "843-767-9313"
}
],
"practiceLocations": [
{
"address_1": "1938 Charlie Hall Blvd Unit A",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294146099",
"country_code": "US",
"telephone_number": "843-554-9313",
"fax_number": "843-744-5961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAYSOR-SEABROOK",
"first_name": "IEASHA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-25",
"last_updated": "2022-05-02",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "APN.20125APRN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN20125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.