NPIMap

Individual provider Active NPI

Heather R Nolan, APRN

  • Family Nurse Practitioner
  • Barnwell, SC
National Provider Identifier
1902307598
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21224 Issued in SC
Practice address
86 Wren St
Barnwell, SC 29812-1529
Phone
(803) 259-5762
Fax
(803) 259-3250
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3011543 KY
Family Nurse Practitioner 363LF0000X 21224 SC Primary

Addresses

Primary practice location

86 Wren St
Barnwell, SC 29812-1529

Mailing address

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

Other identifiers 2

IdentifierTypeStateIssuer
NP6035MedicaidSC
SCF312OtherSCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190729002915 SC Practitioner - Nurse Practitioner 2860728839 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Low Country Health Care System IncGroup PAC ID 4284530940, shared by 10 NPIs, 33 clinicians

Practice addresses (Care Compare)

124 Wren St
Barnwell, SC 29812-1527
Phone (803) 259-5762

130 Baker St N
Blackville, SC 29817-2426
Phone (803) 284-1045

185 McGee St
Bamberg, SC 29003-1154
Phone (803) 956-6100

333 Revolutionary TRL
Fairfax, SC 29827-7109
Phone (803) 632-2533

526 N St
Bamberg, SC 29003-1319
Phone (803) 245-2433

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

914 Barnwell Rd
Barnwell, SC 29812

Hospital & facility affiliations

  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Allendale County Hospital Hospital, Fairfax, SC, CCN 421300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21224SCMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Low Country Health Care System, Inc CurrentSince May 28, 2019 Accepting new patients
Low Country Health Care System, Inc Current Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 10, 2020 Accepting new patients
Low Country Health Care System, Inc. CurrentSince May 28, 2019 Accepting new patients
Low Country Health Care System, Inc CurrentSince May 28, 2019 Accepting new patients
Low Country Health Care System, Inc Family Medicine CurrentSince May 28, 2019 Accepting new patients
Low Country Health Care System, Inc Current Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 10, 2020 Accepting new patients
Low Country Health Care System, Inc. CurrentSince May 28, 2019 Accepting new patients

Locations

526 North St
Bamberg, SC 29003
Phone (803) 245-2433

185 McGee St
Bamberg, SC 29003
Phone (803) 245-4327

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

124 Wren St
Barnwell, SC 29812
Phone (803) 254-3278

10706 Marlboro Ave
Barnwell, SC 29812
Phone (803) 259-7337

130 Baker St N
Blackville, SC 29817
Phone (803) 284-1045

333 Revolutionary Trl
Fairfax, SC 29827
Phone (803) 632-2533

Organizations & group practices 9

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1902307598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762",
            "fax_number": "803-259-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762",
            "fax_number": "803-259-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "HEATHER",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011543",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP6035",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCF312",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnwell, SC

Sources for this page

Verify at the official NPI Registry.