MRS. SHAVON CHAMERI PRABHAKAR FNP NPI 1194371500

NPI Information

NPI: 1194371500
Provider Name: MRS. SHAVON CHAMERI PRABHAKAR, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MINUTECLINIC DIAGNOSTIC SOUTH CAROLINA LLC

PECOS Registration: Yes

Address:
169 LAURELHURST AVE
COLUMBIA, SC
ZIP 29210
Phone: (803) 730-0742
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MRS. Shavon Chameri Prabhakar, FNP is a family nurse practitioner in Columbia, SC with 6 years of experience. MRS. Shavon Chameri Prabhakar, FNP NPI is 1194371500. 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:

169 LAURELHURST AVE
COLUMBIA, SC
ZIP 29210-825
Phone: (803) 730-0742
Fax: (844) 309-7454

The NPI 1194371500 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 8/12/2019 and was last updated on 11/25/2020.

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	363LF0000X	Nurse Practitioner	Family	23157	SOUTH CAROLINA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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