Active NPI
Chelsea McCormick Shaughnessy, RN
- Registered Nurse
- North Charleston, SC
National Provider Identifier
1689264962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 254664
- Practice address
- 2070 Northbrook Blvd
North Charleston, SC 29406-9252 - Phone
- (843) 953-2450
- NPI assigned
- Jan 21, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 254664 | SC | Primary |
Addresses
Primary practice location
2070 Northbrook Blvd
North Charleston, SC 29406-9252
Mailing address
2316 Kennison LN
Mount Pleasant, SC 29466-6858
Phone (404) 643-1661
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 |
|---|---|---|---|
| 254664 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1689264962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2316 KENNISON LN",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294666858",
"telephone_number": "404-643-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 NORTHBROOK BLVD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069252",
"telephone_number": "843-953-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUGHNESSY",
"first_name": "CHELSEA",
"middle_name": "MCCORMICK",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "254664",
"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 Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.