Active NPI
Debra Sue Cain, APRN
- Nurse Practitioner
- Holly Hill, SC
National Provider Identifier
1811932098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 104
- Practice address
- 932 Holly Street
Holly Hill, SC 29059-1250 - Phone
- (803) 496-3324
- Fax
- (803) 496-9653
- NPI assigned
- Jun 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 104 | SC | Primary |
Addresses
Primary practice location
932 Holly Street
Holly Hill, SC 29059-1250
Mailing address
932 Holly St.
Holly Hill, SC 29059-1250
Phone (803) 496-3324
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104 | SC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811932098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 HOLLY ST.",
"city": "HOLLY HILL",
"state": "SC",
"postal_code": "290591250",
"telephone_number": "803-496-3324",
"fax_number": "803-496-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 HOLLY STREET",
"city": "HOLLY HILL",
"state": "SC",
"postal_code": "290591250",
"telephone_number": "803-496-3324",
"fax_number": "803-496-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "DEBRA",
"middle_name": "SUE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Hill, 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.