Individual provider Active NPI

Thomas Rouse

  • Primary Care Nurse Practitioner
  • Florence, SC
National Provider Identifier
1982435467
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
215188 Issued in SC
Practice address
376 W Palmetto St
Florence, SC 29501-4418
Phone
(843) 799-0642
Fax
(843) 799-0933
NPI assigned
Aug 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 215188 SC Primary

Addresses

Primary practice location

376 W Palmetto St
Florence, SC 29501-4418

Mailing address

2831 Founder Dr
Florence, SC 29501-5340
Phone (843) 758-0675

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

State licenses

LicenseStateTypeSpecialty
215188SCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RHTC Medical LLC Primary Care Current Accepting new patients
Regional Health and Testing Center Current Accepting new patients
Regional Health & Testing Center L.L.C. Current Accepting new patients

Locations

376 W Palmetto St
Florence, SC 29501
Phone (843) 799-0642

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18183/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1982435467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FOUNDER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015340",
            "telephone_number": "843-758-0675",
            "fax_number": "843-799-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014418",
            "telephone_number": "843-799-0642",
            "fax_number": "843-799-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "215188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.