Individual provider Active NPI

Trudy L Gaston, RN

  • School Registered Nurse
  • Woodruff, SC
National Provider Identifier
1760826531
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
48346 Issued in SC
Practice address
205 SJ Workman Hwy
Woodruff, SC 29388-8780
Phone
(864) 476-3150
Fax
(864) 476-6036
NPI assigned
Apr 24, 2013
Last updated
Apr 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 48346 SC Primary

Addresses

Primary practice location

205 SJ Workman Hwy
Woodruff, SC 29388-8780

Mailing address

205 SJ Workman Hwy
Woodruff, SC 29388-8780
Phone (864) 476-3150

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
48346SCMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1760826531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SJ WORKMAN HWY",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888780",
            "telephone_number": "864-476-3150",
            "fax_number": "864-476-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SJ WORKMAN HWY",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888780",
            "telephone_number": "864-476-3150",
            "fax_number": "864-476-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "TRUDY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "48346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodruff, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.