Active NPI
M. Annie Muller, DNP, FNP/APRN
- Nurse Practitioner
- Florence, SC
National Provider Identifier
1881675361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2583
- Practice address
- 3015 W Palmetto St
Florence, SC 29501-5935 - Phone
- (843) 777-6870
- Fax
- (843) 777-6871
- NPI assigned
- Nov 10, 2005
- Last updated
- Apr 13, 2010
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2583 | SC | Primary |
Addresses
Primary practice location
3015 W Palmetto St
Florence, SC 29501-5935
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-6870
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-2935692-063 | Other | SC | BCBS |
| 20-2935692-062 | Other | SC | BCBS |
| NP1556 | Medicaid | SC | |
| 226111 | Other | SC | MEDCOST |
| AA47218552 | Other | SC | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2583 | SC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1881675361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "843-777-6870",
"fax_number": "843-777-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 W PALMETTO ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015935",
"telephone_number": "843-777-6870",
"fax_number": "843-777-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLER",
"first_name": "M.",
"middle_name": "ANNIE",
"credential": "DNP, FNP/APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "2583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20-2935692-063",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20-2935692-062",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1556",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "226111",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AA47218552",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.