Active NPI
Katrina Denise Middleton
- Nurse Practitioner
- West Columbia, SC
National Provider Identifier
1952934473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 22628
- Practice address
- 1053 Center St
West Columbia, SC 29169-6749 - Phone
- (803) 454-1221
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 22628 | SC | Primary |
Addresses
Primary practice location
1053 Center St
West Columbia, SC 29169-6749
Mailing address
PO Box 671
Saint Helena Island, SC 29920-0671
Phone (843) 321-0221
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22628 | SC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1952934473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 671",
"city": "SAINT HELENA ISLAND",
"state": "SC",
"postal_code": "299200671",
"telephone_number": "843-321-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 CENTER ST",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291696749",
"telephone_number": "803-454-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "KATRINA",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "22628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
- Michelle Cristina Mickens
- Mid-Carolina Infectious Diseases,LLC
- Angela Theresa Middleton, PTA
- Emily Rayna Middleton, RN, IBCLC
- Ericka G. Middleton, APRN
- Lorena Middleton, FNP
- Midlands Anesthesiologists LLC
- Midlands Electrodiagnostic Services, LLC
- Midlands Exams and Drug Screening, Inc
- Midlands Family Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.