ROXIE CHISHOLM FNP-C NPI 1932502572

NPI Information

NPI: 1932502572
Provider Name: ROXIE CHISHOLM, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PRISMA HEALTH MEDICAL GROUP-MIDLANDS

PECOS Registration: Yes

Address:
115 BLARNEY DR STE 108
COLUMBIA, SC
ZIP 29223
Phone: (803) 462-9200
Get Directions

Roxie Chisholm, FNP-C is a family nurse practitioner in Columbia, SC with 10 years of experience. Roxie Chisholm, FNP-C NPI is 1932502572. 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:

115 BLARNEY DR STE 108
COLUMBIA, SC
ZIP 29223-291
Phone: (803) 462-9200
Fax: (803) 699-1474

The NPI 1932502572 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 9/26/2014 and was last updated on 3/2/2022.

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	19084	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP5000	MEDICAID	SOUTH CAROLINA

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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