Individual provider Active NPI

Lindsay W Piersol, FNP

  • Family Nurse Practitioner
  • Prosperity, SC
National Provider Identifier
1932372067
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3894 Issued in SC
Practice address
600 N. Wheeler Avenue
Prosperity, SC 29127-0630
Phone
(803) 364-4852
Fax
(803) 364-2014
NPI assigned
Apr 9, 2008
Last updated
Aug 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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 3894 SC Primary

Addresses

Primary practice location

600 N. Wheeler Avenue
Prosperity, SC 29127-0630

Mailing address

PO Box 630
600 N. Wheeler Avenue
Prosperity, SC 29127-0630
Phone (803) 364-4852

Other identifiers 2

IdentifierTypeStateIssuer
AA36843093OtherSCMEDICARE PTAN
NP1434MedicaidSC

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
I20090610000215 SC Practitioner - Nurse Practitioner 3577626688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lovelace Family Medicine PAGroup PAC ID 6002719655, 9 clinicians

Practice addresses (Care Compare)

600 N Wheeler Ave
Prosperity, SC 29127-9332
Phone (803) 364-4852

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3894SCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Family Medicine, PA CurrentSince Jun 29, 2009 Accepting new patients

Locations

600 N Wheeler Ave
Prosperity, SC 29127
Phone (803) 296-5879

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1932372067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "address_2": "600 N. WHEELER AVENUE",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291270630",
            "telephone_number": "803-364-4852",
            "fax_number": "803-364-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N. WHEELER AVENUE",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291270630",
            "telephone_number": "803-364-4852",
            "fax_number": "803-364-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSOL",
        "first_name": "LINDSAY",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA36843093",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1434",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosperity, SC

Sources for this page

Verify at the official NPI Registry.