Individual provider Active NPI

Dana L Katz, FNP

  • Family Nurse Practitioner
  • Saint Stephen, SC
National Provider Identifier
1720045461
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1176 Issued in SC
Practice address
137 Cedar Dr
Saint Stephen, SC 29479-3371
Phone
(843) 567-4000
Fax
(843) 567-3000
NPI assigned
Apr 27, 2006
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 1176 SC Primary

Addresses

Primary practice location

137 Cedar Dr
Saint Stephen, SC 29479-3371

Mailing address

PO Box 100523
Florence, SC 29502-0523
Phone (843) 669-5162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1176SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Doctors, LLC CurrentSince Jan 1, 2024 Accepting new patients
Liberty Doctors LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503

137 Cedar Dr
Saint Stephen, SC 29479
Phone (843) 567-4000

Organizations & group practices 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1720045461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100523",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295020523",
            "telephone_number": "843-669-5162",
            "fax_number": "843-667-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 CEDAR DR",
            "city": "SAINT STEPHEN",
            "state": "SC",
            "postal_code": "294793371",
            "telephone_number": "843-567-4000",
            "fax_number": "843-567-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "DANA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "1176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Stephen, SC

Sources for this page

Verify at the official NPI Registry.