TISHEILA DIANE WHITTED APRN FNP-BC NPI 1003481607

NPI Information

NPI: 1003481607
Provider Name: TISHEILA DIANE WHITTED, APRN, FNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
2720 SUNSET BLVD
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 791-2480
Get Directions

Tisheila Diane Whitted, APRN, FNP-BC is an acute care nurse practitioner in West Columbia, SC. Tisheila Diane Whitted, APRN, FNP-BC NPI is 1003481607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2720 SUNSET BLVD
WEST COLUMBIA, SC
ZIP 29169-810
Phone: (803) 791-2480
Fax: (803) 936-4102

The NPI 1003481607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/25/2021 and was last updated on 1/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		24754	SOUTH CAROLINA	No
2	363LA2100X	Nurse Practitioner	Acute Care	24754	SOUTH CAROLINA	Yes
3	363LA2200X	Nurse Practitioner	Adult Health	24754	SOUTH CAROLINA	No
4	363LF0000X	Nurse Practitioner	Family	24754	SOUTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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