Individual provider Active NPI

Heather Leslie Bannister, FNP-C

  • Family Nurse Practitioner
  • Easley, SC
National Provider Identifier
1821528258
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20889 Issued in SC
Practice address
115 Brushy Creed Road Suite a
Easley, SC 29642
Phone
(864) 523-8082
NPI assigned
Jun 18, 2017
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20889 SC Primary

Addresses

Primary practice location

115 Brushy Creed Road Suite a
Easley, SC 29642

Mailing address

432 Pea Creed Road
Belton, SC 29627
Phone (864) 314-5623

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
I20170727004143 SC Practitioner - Nurse Practitioner 1254601909 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20889SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Easley Health & Spine LLC CurrentSince Apr 2, 2024 Accepting new patients
Calhoun Health & Spine LLC CurrentSince Dec 11, 2023 Accepting new patients
Easley Family Chiropractic CurrentSince Apr 2, 2024 Accepting new patients

Locations

400 Pendleton Rd
Clemson, SC 29631
Phone (864) 653-9955

221 S Pendleton St
Easley, SC 29640
Phone (864) 442-5769

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1821528258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 PEA CREED ROAD",
            "city": "BELTON",
            "state": "SC",
            "postal_code": "29627",
            "telephone_number": "864-314-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRUSHY CREED ROAD SUITE A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29642",
            "telephone_number": "864-523-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "HEATHER",
        "middle_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.