Individual provider Active NPI

Stacey Ribble, RN

  • School Registered Nurse
  • North Charleston, SC
National Provider Identifier
1831615624
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
49411 Issued in SC
Practice address
3795 Spruill Ave
North Charleston, SC 29405
Phone
(843) 745-7113
Fax
(843) 529-3906
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 49411 SC Primary

Addresses

Primary practice location

3795 Spruill Ave
North Charleston, SC 29405

Mailing address

3795 Spruill Ave
North Charleston, SC 29405-7149
Phone (843) 745-7113

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
49411SCMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831615624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 SPRUILL AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057149",
            "telephone_number": "843-745-7113",
            "fax_number": "843-529-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 SPRUILL AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29405",
            "telephone_number": "843-745-7113",
            "fax_number": "843-529-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBBLE",
        "first_name": "STACEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "49411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.