Individual provider Active NPI

Laura Boone, RN

  • Registered Nurse
  • Lancaster, SC
National Provider Identifier
1861802977
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
43806 Issued in SC
Practice address
1833 Pageland Hwy
Lancaster, SC 29720-7606
Phone
(803) 286-8441
Fax
(803) 286-1258
NPI assigned
Apr 29, 2014
Last updated
Apr 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 43806 SC Primary

Addresses

Primary practice location

1833 Pageland Hwy
Lancaster, SC 29720-7606

Mailing address

1833 Pageland Hwy
PO Box 817
Lancaster, SC 29720-7606
Phone (803) 286-8441

Other identifiers 1

IdentifierTypeStateIssuer
43806OtherSCSC NURSING 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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
43806SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1861802977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 PAGELAND HWY",
            "address_2": "PO BOX 817",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207606",
            "telephone_number": "803-286-8441",
            "fax_number": "803-286-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 PAGELAND HWY",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207606",
            "telephone_number": "803-286-8441",
            "fax_number": "803-286-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "43806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC NURSING LICENSE",
            "identifier": "43806",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.