Mary Kathryn O'Neill, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN 40 Issued in SC

Practice address

116 Baskervill Dr
Pawleys Island, SC 29585-6013

Phone

(843) 237-2672

Fax

(843) 237-0369

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smith Medical Clinic

  • Community Health Clinic/Center
  • Pawleys Island, SC
  • NPI 1043684632
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992850333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BASKERVILL DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856013",
            "telephone_number": "843-237-2672",
            "fax_number": "843-237-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BASKERVILL DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856013",
            "telephone_number": "843-237-2672",
            "fax_number": "843-237-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "APN 40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "APN 40",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julian Wade Nichols, DMD
• Scott A Nicol, M.D.
• Nuvista Home Health,LLC
• Nicole L O'Doherty, DPT
• Terry O'Neal-Cox, M.D
• Orthosc, LLC
• Pain Specialists of Charleston
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Sleep & Diagnostic, LLC

• All providers in Pawleys Island, SC
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.