Individual provider Active NPI

Doris L Chitwood, APRN-BC

  • Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1821057803
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN 511 Issued in SC
Practice address
1393 Celanese Rd
Rock Hill, SC 29732-1722
Phone
(803) 329-3103
Fax
(803) 325-2232
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN 511 SC Primary
Family Nurse Practitioner 363LF0000X APN 511 SC
Occupational Health Nurse Practitioner 363LX0106X APN 511 SC
Clinical Nurse Specialist 364S00000X APN 511 SC

Addresses

Primary practice location

1393 Celanese Rd
Rock Hill, SC 29732-1722

Mailing address

1393 Celanese Rd
Rock Hill, SC 29732-1722
Phone (803) 329-3103

Other identifiers 3

IdentifierTypeStateIssuer
NP0355MedicaidSC
E2083OtherMEDCOST
S874448753OtherSCMEDICARE ID - AGAPE PRIMARY CARE

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
I20040527000279 SC Practitioner - Certified Clinical Nurse Specialist (CNS) 8022099803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN 511SCMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Specialists Inc Past Accepting new patients
York Emergency Physicians Past Accepting new patients

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1821057803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321722",
            "telephone_number": "803-329-3103",
            "fax_number": "803-325-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321722",
            "telephone_number": "803-329-3103",
            "fax_number": "803-325-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITWOOD",
        "first_name": "DORIS",
        "middle_name": "L",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APN 511",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN 511",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "SC",
            "license": "APN 511",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "SC",
            "license": "APN 511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0355",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "E2083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - AGAPE PRIMARY CARE",
            "identifier": "S874448753",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.