Active NPI
Hazeline Claudia Outram-Evans
- Registered Nurse
- Greeleyville, SC
National Provider Identifier
1730426073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 207924
- Practice address
- 11 Oak Hill Loop
Greeleyville, SC 29056-0130 - Phone
- (843) 615-7320
- Fax
- (843) 408-0308
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 207924 | SC | Primary |
| Registered Nurse | 163W00000X | 396113-1 | NY |
Addresses
Primary practice location
11 Oak Hill Loop
Greeleyville, SC 29056-0130
Mailing address
PO Box 130
Lane, SC 29564-0130
Phone (843) 615-7320
Other names 1
- Hazeline Claudia Outramweekes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 396113-1 | NY | MD | Registered Nurse |
| 207924 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1730426073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "LANE",
"state": "SC",
"postal_code": "295640130",
"telephone_number": "843-615-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 OAK HILL LOOP",
"city": "GREELEYVILLE",
"state": "SC",
"postal_code": "290560130",
"telephone_number": "843-615-7320",
"fax_number": "843-408-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTRAM-EVANS",
"first_name": "HAZELINE",
"middle_name": "CLAUDIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "207924",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "396113-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HAZELINE",
"last_name": "OUTRAMWEEKES",
"middle_name": "CLAUDIA",
"credential": "RN,ANP,PNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greeleyville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.