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SRP MEDICAL LLC
NPI 1881485662
Nurse Practitioner in Charleston, SC

Active since May 13, 2025
1445 BLUEWATER WAY, CHARLESTON, SC 29414(407) 516-3756 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Srp Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRP MEDICAL LLC (NPI 1881485662) is a healthcare organization registered as a nurse practitioner in Charleston, South Carolina and active in the NPI registry since May 2025. The organization lists Sonya R Puckett, Owner, as its authorized official.

NPPES Registry Identity

NPI1881485662
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSRP MEDICAL LLC
Location Address1445 BLUEWATER WAYCharleston, SC 29414-7923
Mailing Address742 Saint Andrews BlvdCharleston, SC 29407-7169 · (407) 516-3756
Phone(407) 516-3756
Organization SubpartNo
Authorized OfficialSonya R PuckettOwner · (407) 516-3756
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1881485662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1445 BLUEWATER WAY, Charleston, SC 29414
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KRISTINE DAWN CHREST CCC-SLP
Speech-Language Pathologist
1445 BLUEWATER WAY
CHARLESTON, SC 29414
Charleston County (410) 688-4303
LESA ANN LAMB
Occupational Therapist
1445 BLUEWATER WAY
CHARLESTON, SC 29414
Charleston County (843) 576-9667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Srp Medical LLC's NPI number?

The NPI number for Srp Medical LLC is 1881485662. It was assigned to this organization in the NPPES registry on May 13, 2025.

Where is Srp Medical LLC located?

Srp Medical LLC is located at 1445 Bluewater Way, Charleston, SC 29414. The listed phone number is (407) 516-3756.

What is Srp Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Srp Medical LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.