Individual provider Active NPI

Andrea Webb Oates, MSN, FNP

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1710333133
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20247 Issued in SC
Practice address
8 Richland Medical Park,
Suite 420
Columbia, SC 29203-8004
Phone
(803) 545-6050
Fax
(803) 545-6051
NPI assigned
May 5, 2016
Last updated
Jun 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20247 SC Primary
Registered Nurse 163W00000X 209995 SC

Addresses

Primary practice location

8 Richland Medical Park,
Suite 420
Columbia, SC 29203-8004

Mailing address

3555 Harden Street Ext
15 Medical Park, Suite 300
Columbia, SC 29203-6894
Phone (803) 545-5017

Other identifiers 1

IdentifierTypeStateIssuer
20247OtherSCAPRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160919001807 SC Practitioner - Nurse Practitioner 2769779750 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
209995SCMDRegistered Nurse
20247SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Sep 8, 2016 Accepting new patients
South Carolina Oncology Assoc PA CurrentSince Nov 14, 2016 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Sep 8, 2016 Accepting new patients
University Specialty Clinics - Ophthalmology Past Accepting new patients

Locations

166 Stoneridge Dr
Columbia, SC 29210
Phone (803) 296-5954

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

8 Richland Medical Park Dr
Ste 420
Columbia, SC 29203
Phone (803) 434-8050

Organizations & group practices 4

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1710333133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 HARDEN STREET EXT",
            "address_2": "15 MEDICAL PARK, SUITE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036894",
            "telephone_number": "803-545-5017",
            "fax_number": "803-255-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RICHLAND MEDICAL PARK,",
            "address_2": "SUITE 420",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038004",
            "telephone_number": "803-545-6050",
            "fax_number": "803-545-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATES",
        "first_name": "ANDREA",
        "middle_name": "WEBB",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "20247",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "209995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "20247",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.