NPIMap

Organization Active NPI

Fast Response Nurse Practitioners LLC

  • Gerontology Nurse Practitioner
  • Okatie, SC
National Provider Identifier
1932863651
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
FAST RESPONSE NURSE PRACTITIONERS LLC
Practice address
60 Okatie Village Dr
Okatie, SC 29909
Phone
(843) 548-5273
Fax
(440) 989-5273
NPI assigned
Oct 28, 2021
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Brandon Malanowski
Title
Controller
Phone
(440) 989-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X Primary

Addresses

Primary practice location

60 Okatie Village Dr
Okatie, SC 29909

Mailing address

P.O. Box 72464
Cleveland, OH 44192-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220210000429 SC Part B Supplier - Clinic/Group Practice 8527349992 Receives reassigned benefits from 2 practitioners
Practice locations: Okatie, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Fast Response Nurse Practitioners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4138 Swanson Blvd
Wooster, OH 44691
Phone (330) 345-9050

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1932863651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 72464",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 OKATIE VILLAGE DR",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "29909",
            "telephone_number": "843-548-5273",
            "fax_number": "440-989-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST RESPONSE NURSE PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "MALANOWSKI",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "440-989-5200"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.