Active NPI
Elaine Amella, APRN
- Gerontology Registered Nurse
- Charleston, SC
National Provider Identifier
1003967860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- R 76317
- Practice address
- 99 Jonathan Lucas St
Room 410
Charleston, SC 29425-8900 - Phone
- (843) 792-4627
- NPI assigned
- Jan 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | R 76317 | SC | Primary |
Addresses
Primary practice location
99 Jonathan Lucas St
Room 410
Charleston, SC 29425-8900
Mailing address
1545 Landings Run
Mt Pleasant, SC 29464-7716
Phone (843) 792-4627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 76317 | SC | MD | Gerontology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003967860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 LANDINGS RUN",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294647716",
"telephone_number": "843-792-4627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 JONATHAN LUCAS ST",
"address_2": "ROOM 410",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258900",
"telephone_number": "843-792-4627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMELLA",
"first_name": "ELAINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "SC",
"license": "R 76317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
- Raj Amarnath, MD
- Rathnasabhapathi P Amarnath, MD
- Christopher C Amato, DC
- Michelle Irene Amaya, M.D.
- Amedisys SC, LLC (Amedisys Home Health of Charleston East)
- Andrew Nader Ameri, MD
- America's Best Contacts and Eyeglasses, Inc. (America's Best Contacts and Eyeglasses)
- American Current Care PA (Concentra Urgent Care)
- American Drug Testing, Inc. (Dr. Robert Bennett)
- American Health Imaging of South Carolina LLC (American Health Imaging of West Ashley)
Sources for this page
- 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.