Checkups Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3491 Issued in SC

Legal business name

CHECKUPS CLINIC LLC

Practice address

154B Waccamaw Medical Park CT
Conway, SC 29526-8965

Phone

(843) 349-0160

Fax

(843) 349-0161

NPI assigned

May 16, 2012

Last updated

Oct 12, 2012By 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

Ms. Angela Pace Stiles, FNP-BC

Title

LLC Member/Nurse Practitioner

Phone

(843) 349-0160

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1871853440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154B WACCAMAW MEDICAL PARK CT",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268965",
            "telephone_number": "843-349-0160",
            "fax_number": "843-349-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154B WACCAMAW MEDICAL PARK CT",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268965",
            "telephone_number": "843-349-0160",
            "fax_number": "843-349-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHECKUPS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "PACE",
        "authorized_official_title_or_position": "LLC MEMBER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "843-349-0160",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5970",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Chaplin- Plowden
• Lori Ann Chappelle
• Charlotte Dermatology,PA
• Vinod K Chaubey, MD
• Noelle Chavez
• Murry Gordon Chesson Jr., MA
• Aishia Chenery Chestnut
• Hunter Tyson Chestnut, NP
• Jymee Ann Chicko, RN, MSN
• Yoonsun Rebecca Choi, MD

• Family Nurse Practitioner in Conway, SC
• Providers in Conway, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.