Hartsville Medical Enrichment Services LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

HARTSVILLE MEDICAL ENRICHMENT SERVICES LLC

Practice address

24 Public SQ
Darlington, SC 29532-3212

Phone

(843) 968-8210

NPI assigned

Oct 14, 2016

Last updated

Oct 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane Sheffield-Wilkes

Title

Owner/Ceo

Phone

(843) 968-8210

Specialties & licenses 3

Addresses

Tax ID family

Hartsville Medical Enrichment Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hartsville Medical Enrichment Services, LLC

  • Clinic/Center
  • Darlington, SC
  • NPI 1235431438
  NPD tax ID

Locations

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1871044859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PUBLIC SQ",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323212",
            "telephone_number": "843-968-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PUBLIC SQ",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323212",
            "telephone_number": "843-968-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSVILLE MEDICAL ENRICHMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "SHEFFIELD-WILKES",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "843-968-8210"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Gray
• Cathy M Gregory, APRN
• James Ralph Harris
• Harrison ENT Inc (The Medicine Shoppe)
• Harrison ENT. Inc. (The Medicine Shoppe)
• Hartsville Medical Enrichment Services, LLC
• Heather Heape, REGISTERED NURSE
• Brian M Heaster, MD
• Carla Kenisha Hickman
• Hobbs Eye Clinic

• Primary Care Nurse Practitioner in Darlington, SC
• Providers in Darlington, SC by specialty
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.