Active NPI
Nancy Ann Creveling, R.N.
- School Registered Nurse
- N Charleston, SC
National Provider Identifier
1952746695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- R99177
- Practice address
- 2731 Gordon St
N Charleston, SC 29405-3900 - Phone
- (843) 529-4960
- Fax
- (843) 529-3914
- NPI assigned
- May 8, 2013
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R99177 | SC | Primary |
Addresses
Primary practice location
2731 Gordon St
N Charleston, SC 29405-3900
Mailing address
2731 Gordon Street
N Charleston, SC 29405
Phone (843) 529-4960
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R99177 | SC | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garrett Academy HS | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Registered Nurse
- N Charleston, SC
- NPI 1407291479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1952746695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 GORDON STREET",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "29405",
"telephone_number": "843-529-4960",
"fax_number": "843-529-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2731 GORDON ST",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294053900",
"telephone_number": "843-529-4960",
"fax_number": "843-529-3914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREVELING",
"first_name": "NANCY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "SC",
"license": "R99177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.