Active NPI
Jennifer Childs, FNP
- Family Nurse Practitioner
- Greenville, SC
National Provider Identifier
1861858078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19885
- Practice address
- 529 Mills Ave
Greenville, SC 29605-4218 - Phone
- (864) 751-6424
- Fax
- (864) 751-6430
- NPI assigned
- Jan 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19885 | SC | Primary |
Addresses
Primary practice location
529 Mills Ave
Greenville, SC 29605-4218
Mailing address
529 Mills Ave
Greenville, SC 29605-4218
Phone (864) 751-6424
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19885 | SC | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1861858078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054218",
"telephone_number": "864-751-6424",
"fax_number": "864-751-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054218",
"telephone_number": "864-751-6424",
"fax_number": "864-751-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDS",
"first_name": "JENNIFER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.