Active NPI
Nancy Patricia Hudson, RN
- Medical-Surgical Registered Nurse
- West Columbia, SC
National Provider Identifier
1669696902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 17602
- Practice address
- 1260 Lexington Dr
Department of Nursing
West Columbia, SC 29170-2176 - Phone
- (803) 822-6758
- Fax
- (803) 822-3343
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | 17602 | SC | |
| Medical-Surgical Registered Nurse | 163WM0705X | 17602 | SC | Primary |
Addresses
Primary practice location
1260 Lexington Dr
Department of Nursing
West Columbia, SC 29170-2176
Mailing address
481 Hickory Hill Dr
Columbia, SC 29210-4659
Phone (803) 750-0328
Other names 1
- Ms. Nancy Patricia Sullivan
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17602 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midlands Technical College Dental Clinic | Past | Accepting new patients |
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.
-
- Dentist
- West Columbia, SC
- NPI 1386862191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1669696902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 HICKORY HILL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292104659",
"telephone_number": "803-750-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 LEXINGTON DR",
"address_2": "DEPARTMENT OF NURSING",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291702176",
"telephone_number": "803-822-6758",
"fax_number": "803-822-3343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "NANCY",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "SC",
"license": "17602",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "SC",
"license": "17602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "SULLIVAN",
"middle_name": "PATRICIA",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.