Susanna Heffernan, R.N.

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

102850 Issued in SC

Practice address

4060 Wildcat Blvd
Charleston, SC 29414-5851

Phone

(843) 573-1201

Fax

(843) 573-1223

NPI assigned

Sep 26, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1861894487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 WILDCAT BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 WILDCAT BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145851",
            "telephone_number": "843-573-1201",
            "fax_number": "843-573-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "SUSANNA",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "102850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony James Hedges, CPS
• Casey Claire Hedman, MD
• Robert Stanton Hedstrom Jr., ATC
• Anna Marie Heelan
• Emily Heeseman
• Lindsey Kaufmann Heffner, PA-C
• Jacob Scott Hefner, PHARMD
• Mary Hegedus
• Ariel Phillips Heicher, LPC/I
• Dana Heikes, M.D., F.A.C.S.

• School Registered Nurse in Charleston, SC
• Providers in Charleston, SC by specialty
• School Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.