Individual provider Active NPI

Alyssa W Ursini, FNP

  • Family Nurse Practitioner
  • Walterboro, SC
National Provider Identifier
1013471101
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22549 Issued in SC
Practice address
1515 Bells Hwy
Walterboro, SC 29488-2517
Phone
(843) 538-6240
NPI assigned
Jan 23, 2019
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22549 SC Primary

Addresses

Primary practice location

1515 Bells Hwy
Walterboro, SC 29488-2517

Mailing address

374 Summers Dr
Summerville, SC 29485-7450
Phone (860) 967-7022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190313002363 SC Practitioner - Nurse Practitioner 9335489129 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22549SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Urgent Care LLC CurrentSince Jan 21, 2019 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Dec 26, 2019 Accepting new patients
Sea Island Medical Care CurrentSince Apr 15, 2019 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Dec 26, 2019 Accepting new patients

Locations

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

2114 Highway 41
Ste 105
Mt Pleasant, SC 29466
Phone (843) 388-9000

2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

1515 Bells Hwy
Walterboro, SC 29488
Phone (843) 522-8223

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1013471101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 SUMMERS DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857450",
            "telephone_number": "860-967-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882517",
            "telephone_number": "843-538-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSINI",
        "first_name": "ALYSSA",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

Verify at the official NPI Registry.