Active NPI
Demonica Robinson Dunifer, FNP-C
- Family Nurse Practitioner
- Greenville, SC
National Provider Identifier
1881175487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22167
- Practice address
- 220 N Main St Ste 500
Greenville, SC 29601-2129 - Phone
- (833) 445-5995
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22167 | SC | Primary |
Addresses
Primary practice location
220 N Main St Ste 500
Greenville, SC 29601-2129
Mailing address
819 Abilene LN
Fort Mill, SC 29715-5916
Phone (803) 519-7177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC, VA, IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stateline Medical Transportation, LLC | Current | Accepting new patients | |
| Caremore Medical Group of North Carolina, PC | Current | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887
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 and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Fort Mill, SC
- NPI 1659020071
-
- Family Medicine Physician
- Raleigh, NC
- NPI 1659775831
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
IN, OH, SC, VA
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1750903134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1881175487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 ABILENE LN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297155916",
"telephone_number": "803-519-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N MAIN ST STE 500",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012129",
"telephone_number": "833-445-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNIFER",
"first_name": "DEMONICA",
"middle_name": "ROBINSON",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "22167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.