Active NPI
Ana Katrina Endaya, DNP, APRN, FNP-BC
- Family Nurse Practitioner
- Greenville, SC
National Provider Identifier
1962802124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18899
- Practice address
- 5 S Lewis PLZ
Greenville, SC 29605-2944 - Phone
- (864) 242-4122
- Fax
- (864) 603-6182
- NPI assigned
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Greenville, SC
- NPI 1124495643
SC
-
- Internal Medicine Physician
- Greenville, SC
- NPI 1700013216
-
- Urgent Care Clinic/Center
- Easley, SC
- NPI 1598073496
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Medical University of South Carolina College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Francis Physician Services Inc
Practice addresses (Care Compare)
5 S Lewis PLZ
Greenville, SC 29605-2944
Phone (864) 242-4122
Hospital & facility affiliations
- St Francis-Downtown
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150910001741 | SC | Practitioner - Nurse Practitioner | 7810204690 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodruff Road Urgent Care Center, P.C. | Current | Accepting new patients | |
| Bon Secours Ambulatory Services - St. Francis, LLC | Current | Accepting new patients | |
| St Francis Physician Services Inc | Current | Accepting new patients | |
| St Francis Physician Services Inc | Current | Accepting new patients | |
| St Francis Physician Services Inc | Past | Accepting new patients |
Locations
1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126
1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721
5 S Lewis Plz
Greenville, SC 29605
Phone (864) 242-4122
8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462
Interoperability endpoints
- aendaya1150942@direct.bsmhealth.org
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18899 | SC | Primary |
Addresses
Primary practice location
5 S Lewis PLZ
Greenville, SC 29605-2944
Mailing address
8580 Magellan Pkwy
Richmond, VA 23227-1149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18899 | Other | SC | APRN |
NPI Registry JSON
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1962802124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8580 MAGELLAN PKWY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232271149",
"fax_number": "866-449-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 S LEWIS PLZ",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296052944",
"telephone_number": "864-242-4122",
"fax_number": "864-603-6182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDAYA",
"first_name": "ANA",
"middle_name": "KATRINA",
"credential": "DNP, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2021-07-14",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "18899",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.