Individual provider Active NPI

Tina Marie Howard, FNP

  • Family Nurse Practitioner
  • Allendale, SC
National Provider Identifier
1922453059
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20145 Issued in SC
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518002861 SC Practitioner - Nurse Practitioner 6204119886 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc. Current Accepting new patients
Fetter Health Care Network, Inc CurrentSince May 21, 2018 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Mar 10, 2023 Accepting new patients
Fetter Health Care Network Inc CurrentSince May 21, 2018 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince May 21, 2018 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.

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

Verify at the official NPI Registry.