Individual provider Active NPI

Nicole Clamp, APRN

  • Family Nurse Practitioner
  • Fort Mill, SC
National Provider Identifier
1679918221
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18239 Issued in SC
Practice address
1698 Highway 160 W
Suite 210
Fort Mill, SC 29708-8032
Phone
(804) 547-4343
Fax
(803) 547-3914
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18239 SC Primary

Addresses

Primary practice location

1698 Highway 160 W
Suite 210
Fort Mill, SC 29708-8032

Mailing address

1698 Highway 160 W
Suite 210
Fort Mill, SC 29708-8032
Phone (804) 547-4343

Other identifiers 1

IdentifierTypeStateIssuer
18239OtherSCSC NURSING LICENCE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18239SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Giarrizzi, LLC PastSince May 16, 2021 Accepting new patients
Infinite Wellness Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1679918221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W",
            "address_2": "SUITE 210",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088032",
            "telephone_number": "804-547-4343",
            "fax_number": "803-547-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W",
            "address_2": "SUITE 210",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088032",
            "telephone_number": "804-547-4343",
            "fax_number": "803-547-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAMP",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC NURSING LICENCE",
            "identifier": "18239",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.