Active NPI
Melissa Jean Cardwell, APRN
- Women's Health Nurse Practitioner
- Moncks Corner, SC
National Provider Identifier
1831643675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 20272
- Practice address
- 109 W Main St
Moncks Corner, SC 29461-2673 - Phone
- (843) 719-4600
- NPI assigned
- Aug 10, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 20272 | SC | |
| Women's Health Nurse Practitioner | 363LW0102X | 20272 | SC | Primary |
Addresses
Primary practice location
109 W Main St
Moncks Corner, SC 29461-2673
Mailing address
216 Castlewood CT
Hanahan, SC 29410-4766
Phone (318) 957-3315
Other practice location 1
111 W Hospital Dr
West Columbia, SC 29169-3405
Phone (803) 796-8515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20272 | Other | SC | LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20272 | SC | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Urology Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- West Columbia, SC
- NPI 1447395066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1831643675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 CASTLEWOOD CT",
"city": "HANAHAN",
"state": "SC",
"postal_code": "294104766",
"telephone_number": "318-957-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W MAIN ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294612673",
"telephone_number": "843-719-4600"
}
],
"practiceLocations": [
{
"address_1": "111 W Hospital Dr",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291693405",
"country_code": "US",
"telephone_number": "803-796-8515",
"fax_number": "803-796-8516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDWELL",
"first_name": "MELISSA",
"middle_name": "JEAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "SC",
"license": "20272",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SC",
"license": "20272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "20272",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.