NPIMap

Organization Active NPI

Palmetto Picc Lines, LLC

Doing business as Palmetto PICC Lines

  • Infusion Therapy Registered Nurse
  • Hanahan, SC
National Provider Identifier
1932404589
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
988 Issued in SC
Legal business name
PALMETTO PICC LINES, LLC
Doing business as
Palmetto PICC Lines
Practice address
5804 Cardiff CT
Hanahan, SC 29410-2402
Phone
(843) 568-2716
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Shawn West
Title
President
Phone
(843) 568-2716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 988 SC Primary

Addresses

Primary practice location

5804 Cardiff CT
Hanahan, SC 29410-2402

Mailing address

PO Box 12008
Charleston, SC 29422-2008
Phone (843) 568-2716

Other names 1

  • Palmetto PICC Lines Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1932404589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12008",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294222008",
            "telephone_number": "843-568-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 CARDIFF CT",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294102402",
            "telephone_number": "843-568-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PICC LINES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-568-2716"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "SC",
            "license": "988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto PICC Lines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanahan, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.