Active NPI
Equestrienne Seibles, AGPCNP
- Nurse Practitioner
- Elgin, SC
National Provider Identifier
1962289181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 27801
- Practice address
- 36 Bellside LN
Elgin, SC 29045-5501 - Phone
- (803) 351-6645
- NPI assigned
- Sep 11, 2023
- 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 | 27801 | SC | Primary |
Addresses
Primary practice location
36 Bellside LN
Elgin, SC 29045-5501
Mailing address
36 Bellside LN
Elgin, SC 29045-5501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Health Partners LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330
2993 Sunset Blvd
West Columbia, SC 29169
Phone (314) 954-6282
Interoperability endpoints
- eseibles649986@direct.ghs.myhfn.org
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/HEJBAA
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1962289181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 BELLSIDE LN",
"city": "ELGIN",
"state": "SC",
"postal_code": "290455501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BELLSIDE LN",
"city": "ELGIN",
"state": "SC",
"postal_code": "290455501",
"telephone_number": "803-351-6645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIBLES",
"first_name": "EQUESTRIENNE",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "27801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.