Individual provider Active NPI

Danielle Bunton Shoupe, APRN-FNP

  • Family Nurse Practitioner
  • Walterboro, SC
National Provider Identifier
1801458765
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22978 Issued in SC
Practice address
830 Robertson Blvd
Walterboro, SC 29488-3081
Phone
(843) 781-7428
Fax
(843) 781-7429
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 22978 SC Primary

Addresses

Primary practice location

830 Robertson Blvd
Walterboro, SC 29488-3081

Mailing address

8906 Two Notch Rd
Columbia, SC 29223-6366
Phone (803) 254-3676

Other identifiers 1

IdentifierTypeStateIssuer
NP6164MedicaidSC

Other names 1

  • Courtney Danielle Bunton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200305000023 SC Practitioner - Nurse Practitioner 9739516642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare, IncGroup PAC ID 4688869696, 33 clinicians

Practice addresses (Care Compare)

457 Spruce St
Walterboro, SC 29488-2766
Phone (843) 782-4100

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Walterboro, SC, CCN 427856
  • Amedisys Home Health of Charleston East Home health agency, Charleston, SC, CCN 427027
  • Colleton Medical Center Hospital, Walterboro, SC, CCN 420030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22978SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Genesis Healthcare, Inc. Current Accepting new patients
Genesis Healthcare, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Genesis Healthcare, Inc Past Accepting new patients
Genesis Healthcare, Inc. Past Accepting new patients

Locations

8906 Two Notch Rd
Columbia, SC 29223
Phone (803) 254-3676

201 Cashua St
Darlington, SC 29532
Phone (843) 383-7452

457 Spruce St
Walterboro, SC 29488
Phone (843) 584-4353

830 Robertson Blvd
Walterboro, SC 29488
Phone (843) 781-7428

Interoperability endpoints

  • Direct secure messaging: courtney.bunton.alberts.1@20108.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1801458765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883081",
            "telephone_number": "843-781-7428",
            "fax_number": "843-781-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUPE",
        "first_name": "DANIELLE",
        "middle_name": "BUNTON",
        "name_prefix": "Miss",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP6164",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BUNTON",
            "middle_name": "DANIELLE",
            "credential": "APRN-FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walterboro, SC

Sources for this page

Verify at the official NPI Registry.