Organization Active NPI

Wendy Abercrombie, LLC

  • Family Nurse Practitioner
  • Clinton, SC
National Provider Identifier
1699091298
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3928 Issued in SC
Legal business name
WENDY ABERCROMBIE, LLC
Practice address
500 Plaza Cir
Suite J
Clinton, SC 29325-7559
Phone
(864) 938-9690
Fax
(864) 833-9039
NPI assigned
Apr 8, 2010
Last updated
Apr 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Wendy W Abercrombie, FNP
Title
Owner
Phone
(864) 938-9690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3928 SC Primary

Addresses

Primary practice location

500 Plaza Cir
Suite J
Clinton, SC 29325-7559

Mailing address

500 Plaza Cir
Suite J
Clinton, SC 29325-7559
Phone (864) 938-9690

Other identifiers 1

IdentifierTypeStateIssuer
NP1549MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1699091298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PLAZA CIR",
            "address_2": "SUITE J",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257559",
            "telephone_number": "864-938-9690",
            "fax_number": "864-833-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PLAZA CIR",
            "address_2": "SUITE J",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257559",
            "telephone_number": "864-938-9690",
            "fax_number": "864-833-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY ABERCROMBIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "ABERCROMBIE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-938-9690",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1549",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.