Active NPI
Jeanne Cameron Gonzalez, ARNP, APRN
- Gerontology Nurse Practitioner
- Greenville, SC
National Provider Identifier
1972941821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SC APRN 18198
- Practice address
- 504 Huntington Rd
Greenville, SC 29615-4212 - Phone
- (864) 412-0447
- NPI assigned
- Jun 12, 2013
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SC APRN 18198 | SC | Primary |
Addresses
Primary practice location
504 Huntington Rd
Greenville, SC 29615-4212
Mailing address
PO Box 896129
Charlotte, NC 28289-6129
Other names 1
- Shirley Jeanne Cameron
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 |
|---|---|---|---|
| SC APRN 18198 | SC | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1972941821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896129",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282896129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 HUNTINGTON RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154212",
"telephone_number": "864-412-0447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JEANNE",
"middle_name": "CAMERON",
"credential": "ARNP, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "SC",
"license": "SC APRN 18198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRLEY",
"last_name": "CAMERON",
"middle_name": "JEANNE",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.