Organization Active NPI

Nelsmith Wound Care Group

  • Wound Care Registered Nurse
  • Goose Creek, SC
National Provider Identifier
1881072072
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
109341 Issued in SC
Legal business name
NELSMITH WOUND CARE GROUP
Practice address
263 Mayfield Dr
Goose Creek, SC 29445-7320
Phone
(843) 509-1684
NPI assigned
May 8, 2015
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Jennifer Nelson Smith, BSN RN
Title
Sole Proprietor
Phone
(843) 509-1684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 109341 SC Primary

Addresses

Primary practice location

263 Mayfield Dr
Goose Creek, SC 29445-7320

Mailing address

PO Box 1807
263 Mayfield Drive
Goose Creek, SC 29445-1807
Phone (843) 509-1684

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1881072072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1807",
            "address_2": "263 MAYFIELD DRIVE",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294451807",
            "telephone_number": "843-509-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MAYFIELD DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457320",
            "telephone_number": "843-509-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSMITH WOUND CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "NELSON SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "843-509-1684",
        "authorized_official_credential": "BSN RN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "SC",
            "license": "109341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.