Active NPI
Tina Marie Howard, FNP
- Family Nurse Practitioner
- Allendale, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20145
- Practice address
- 623 Memorial Ave N
Allendale, SC 29810-2715 - Phone
- (803) 584-2128
- Fax
- (803) 584-2125
- NPI assigned
- Apr 26, 2016
- Last updated
- Apr 26, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20145 | SC | Primary |
Addresses
Primary practice location
623 Memorial Ave N
Allendale, SC 29810-2715
Mailing address
1787 Allendale Fairfax Hwy
Fairfax, SC 29827-9133
Phone (803) 584-2128
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc | Current | Accepting new patients | |
| Lowcountry Urgent Care LLC | Current | Accepting new patients | |
| Fetter Health Care Network Inc | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients |
Locations
182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933
35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477
51 Nassau St
Charleston, SC 29403
5225 Highway 165
Hollywood, SC 29449
Phone (843) 670-5474
130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444
Organizations & group practices 6
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 Fetter Health Care Network-Downtown Site
- Federally Qualified Health Center (FQHC)
- Charleston, SC
- NPI 1003827304
-
dba TJ Bell Family Health Center
- Federally Qualified Health Center (FQHC)
- Summerville, SC
- NPI 1518454818
-
dba One 80 Place
- Federally Qualified Health Center (FQHC)
- Charleston, SC
- NPI 1982124301
-
dba Lowcountry Urgent Care
- Primary Care Nurse Practitioner
- Beaufort, SC
- NPI 1326364100
-
dba Fetter Health Care Network-ElijahWright Site
- Federally Qualified Health Center (FQHC)
- Cross, SC
- NPI 1396859823
-
dba Thaddeus J. Bell, MD Vision Center
- Federally Qualified Health Center (FQHC)
- Summerville, SC
- NPI 1174378707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1922453059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1787 ALLENDALE FAIRFAX HWY",
"city": "FAIRFAX",
"state": "SC",
"postal_code": "298279133",
"telephone_number": "803-584-2128",
"fax_number": "803-584-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 MEMORIAL AVE N",
"city": "ALLENDALE",
"state": "SC",
"postal_code": "298102715",
"telephone_number": "803-584-2128",
"fax_number": "803-584-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allendale, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.