Active NPI
Angela Frick Conder, APRN
- Nurse Practitioner
- West Columbia, SC
National Provider Identifier
1811370877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 19602
- Practice address
- 222 E Medical LN Ste 101
West Columbia, SC 29169-4850 - Phone
- (803) 739-3660
- Fax
- (803) 739-3663
- NPI assigned
- Jul 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 19602 | SC | Primary |
| Nurse Practitioner | 363L00000X | 5008211 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5008211 | NC | |
| Family Nurse Practitioner | 363LF0000X | 19602 | SC |
Addresses
Primary practice location
222 E Medical LN Ste 101
West Columbia, SC 29169-4850
Mailing address
PO Box 2369
Huntersville, NC 28070-2369
Phone (704) 414-2870
Other practice location 1
2101 Dutch Fork Rd
Chapin, SC 29036-7576
Phone (910) 742-9243
Other practice location 2
139 Summerplace Dr
West Columbia, SC 29169-3058
Phone (803) 796-9968
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5008211 | NC | MD | Family Nurse Practitioner |
| 19602 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1811370877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2369",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280702369",
"telephone_number": "704-414-2870",
"fax_number": "704-414-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E MEDICAL LN STE 101",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694850",
"telephone_number": "803-739-3660",
"fax_number": "803-739-3663"
}
],
"practiceLocations": [
{
"address_1": "2101 Dutch Fork Rd",
"address_purpose": "LOCATION",
"city": "Chapin",
"state": "SC",
"postal_code": "290367576",
"country_code": "US",
"telephone_number": "910-742-9243",
"fax_number": "888-746-1787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "139 Summerplace Dr",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291693058",
"country_code": "US",
"telephone_number": "803-796-9968",
"fax_number": "803-791-0376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONDER",
"first_name": "ANGELA",
"middle_name": "FRICK",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "19602",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5008211",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5008211",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19602",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.