Individual provider Active NPI

Mary Charlotte Piscitello, NP

  • Adult Health Nurse Practitioner
  • Hilton Head, SC
National Provider Identifier
1811069537
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R79761 Issued in SC
Practice address
35 Bill Fries Dr
Building J
Hilton Head, SC 29926-2730
Phone
(843) 681-2222
Fax
(843) 681-2541
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R79761 SC Primary

Addresses

Primary practice location

35 Bill Fries Dr
Building J
Hilton Head, SC 29926-2730

Mailing address

35 Bill Fries Dr
Building J
Hilton Head, SC 29926-2730
Phone (843) 681-2222

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R79761SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Regional OB/GYN Partners LLC Past Accepting new patients
Hilton Head Internists, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16904/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811069537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "address_2": "BUILDING J",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-681-2222",
            "fax_number": "843-681-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "address_2": "BUILDING J",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-681-2222",
            "fax_number": "843-681-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISCITELLO",
        "first_name": "MARY",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "R79761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.