Fredrick J. Astle, PHD, APRN, PMHCNS-BC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

4291 Issued in SC

Practice address

2638 Two Notch Road
Suite 110
Columbia, SC 29204

Phone

(803) 256-2500

Fax

(803) 758-1726

NPI assigned

Aug 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1750575338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5731",
            "address_2": "COLLEGE OF NURSING",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292505731",
            "telephone_number": "803-256-2500",
            "fax_number": "803-758-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 TWO NOTCH ROAD",
            "address_2": "SUITE 110",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-256-2500",
            "fax_number": "803-758-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTLE",
        "first_name": "FREDRICK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "SC",
            "license": "R38298",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "SC",
            "license": "4291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA72856580",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Registered Nurse in Columbia, SC
• Providers in Columbia, SC by specialty
• Psychiatric/Mental Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.