Individual provider Active NPI

Celia M Herring, FNP

  • Family Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1821258435
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3604 Issued in SC
Practice address
649 W Wesmark Blvd
Sumter, SC 29150-1900
Phone
(803) 469-7950
Fax
(803) 469-7560
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 3604 SC
Family Nurse Practitioner 363LF0000X 3604 SC Primary

Addresses

Primary practice location

649 W Wesmark Blvd
Sumter, SC 29150-1900

Mailing address

649 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 469-7950

Other identifiers 1

IdentifierTypeStateIssuer
NP1239MedicaidSC

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
I20080715000367 SC Practitioner - Nurse Practitioner 8921171505 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3604SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Diabetes & Kidney Center, LLC CurrentSince May 23, 2018 Accepting new patients
Sumter Medical Specialists PA Current Accepting new patients
Clarendon Memorial Hospital PastSince Dec 31, 2011 Accepting new patients

Locations

649 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-7950

625 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-7950

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEAHAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCAHAD

Organizations & group practices 3

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1821258435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501900",
            "telephone_number": "803-469-7950",
            "fax_number": "803-469-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501900",
            "telephone_number": "803-469-7950",
            "fax_number": "803-469-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "CELIA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "3604",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1239",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.