Active NPI
Clare Boyle Rosensteel
- Community Health Registered Nurse
- Surfside Beach, SC
National Provider Identifier
1942953161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 258515
- Practice address
- 1012 Plantation Dr
Surfside Beach, SC 29575-5110 - Phone
- (805) 801-8887
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 258515 | SC | Primary |
Addresses
Primary practice location
1012 Plantation Dr
Surfside Beach, SC 29575-5110
Mailing address
1012 Plantation Dr
Surfside Beach, SC 29575-5110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258515 | Other | SC | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258515 | SC | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1942953161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 PLANTATION DR",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295755110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 PLANTATION DR",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295755110",
"telephone_number": "805-801-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENSTEEL",
"first_name": "CLARE",
"middle_name": "BOYLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "258515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "258515",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surfside Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.