Walnut Lane Management LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1637 Issued in SC

Legal business name

WALNUT LANE MANAGEMENT LLC

Practice address

148 Walnut Lane
Suite I
Travelers Rest, SC 29690

Phone

(864) 834-8099

Fax

(864) 834-8108

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Wylie St John, DC

Title

Chiropractor

Phone

(864) 834-8099

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St John Family Chiro Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brendan John Ross, DC

  • Chiropractor
  • Travelers Rest, SC
  • NPI 1144135047
  NPD (past)
• Charity Robbin Salyers, DC

  • Chiropractor
  • Travelers Rest, SC
  • NPI 1780370551
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679529010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "29690",
            "telephone_number": "864-834-8099",
            "fax_number": "864-834-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WALNUT LANE",
            "address_2": "SUITE I",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "29690",
            "telephone_number": "864-834-8099",
            "fax_number": "864-834-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT LANE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ST JOHN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "WYLIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "864-834-8099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1637",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St John Family Chiro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John D. Voss, O.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Jennifer Kerry Amber Wareham
• Morgan N Warthan, PA
• Brandon Lloyd Watson, DO
• Elizabeth Weikel, P.T.
• Scott Clayton Weikle, D.O.

• Chiropractor in Travelers Rest, SC
• Providers in Travelers Rest, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.