Individual provider Active NPI

Joanne Louise Cahill, FNP

  • Family Nurse Practitioner
  • Landrum, SC
National Provider Identifier
1689755118
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17797 Issued in SC
Practice address
108 W Rutherford St
Landrum, SC 29356-1526
Phone
(864) 457-2363
Fax
(864) 457-2736
NPI assigned
Oct 18, 2006
Last updated
Jun 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP007486 PA
Family Nurse Practitioner 363LF0000X 17797 SC Primary
Family Nurse Practitioner 363LF0000X 5005861 NC

Addresses

Primary practice location

108 W Rutherford St
Landrum, SC 29356-1526

Mailing address

108 W Rutherford St
Landrum, SC 29356-1526
Phone (864) 457-2363

Other identifiers 1

IdentifierTypeStateIssuer
NP2666MedicaidSC

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5005861NCMDFamily Nurse Practitioner
SP007486PAMDFamily Nurse Practitioner
17797SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landrum Family Healthcare Center, PA 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1689755118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W RUTHERFORD ST",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293561526",
            "telephone_number": "864-457-2363",
            "fax_number": "864-457-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W RUTHERFORD ST",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293561526",
            "telephone_number": "864-457-2363",
            "fax_number": "864-457-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "JOANNE",
        "middle_name": "LOUISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007486",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17797",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2666",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Landrum, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.