Active NPI
Charmaine Seguro
- Health Educator
- Simpsonville, SC
National Provider Identifier
1740004100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 317 Scuffletown Rd
Simpsonville, SC 29681-7205 - Phone
- (864) 675-5808
- NPI assigned
- Nov 12, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
317 Scuffletown Rd
Simpsonville, SC 29681-7205
Mailing address
100 Staffordshire Way
Simpsonville, SC 29681-4669
Phone (510) 734-6868
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acac Health, LLC | Health Educator | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1740004100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 STAFFORDSHIRE WAY",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814669",
"telephone_number": "510-734-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 SCUFFLETOWN RD",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296817205",
"telephone_number": "864-675-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGURO",
"first_name": "CHARMAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.