Active NPI
Amy E. Rush, PNP
- Pediatric Nurse Practitioner
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 18479
- Practice address
- 2430 Reidville Rd
Spartanburg, SC 29301-3652 - Phone
- (864) 272-0388
- Fax
- (678) 688-1594
- NPI assigned
- Oct 23, 2013
- Last updated
- Sep 26, 2024
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 18479 | SC | Primary |
Addresses
Primary practice location
2430 Reidville Rd
Spartanburg, SC 29301-3652
Mailing address
PO Box 936934
Atlanta, GA 31193-6934
Other names 1
- Amy Elizabeth Marialke
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Affiliate Physicians | Current | Accepting new patients | |
| Musc Affiliate Physicians | Current | Accepting new patients | |
| Coker Pediatrics LLC | Current | Accepting new patients | |
| University Medical Associates | Past | Accepting new patients |
Locations
14557 Highway 19
Griffin, GA 30224
Phone (678) 688-1580
525 Verdae Blvd
#100
Greenville, SC 29607
Phone (864) 516-2800
9 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 286-1040
145 E Poinsett St
Greer, SC 29651
Phone 86460356003222
1220 Parkside Acorn Dr
Inman, SC 29349
Phone (864) 516-1783
30 Halter Dr
Powdersville, SC 29673
2 Hatcher Creek St
Simpsonville, SC 29680
211 Batesville Rd
Simpsonville, SC 29681
559 Harrison Bridge Rd
Simpsonville, SC 29680
2430 Reidville Rd
Spartanburg, SC 29301
Phone (864) 516-1783
2430 Reidville Rd
Ste 102
Spartanburg, SC 29301
Interoperability endpoints
- amy.rush@cokerpediatrics.gadirect.net
- https://fhir4.healow.com/fhir/r4/HFBDAA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MUSC Affiliate Physicians Spec
- Psychiatry Physician
- Charleston, SC
- NPI 1700465648
-
dba MUSC Affiliate Physicians PCP
- Family Medicine Physician
- Charleston, SC
- NPI 1548849482
-
- Pediatrics Physician
- Griffin, GA
- NPI 1871707489
-
dba MUSC Physicians
- Pediatric Allergy/Immunology Physician
- Charleston, SC
- NPI 1902323504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1881022234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936934",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311936934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 REIDVILLE RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293013652",
"telephone_number": "864-272-0388",
"fax_number": "678-688-1594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "AMY",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "18479",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2430 Reidville Rd",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "293013652",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "MARIALKE",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.