Active NPI
Alejandro Hurtado III, RN
- Registered Nurse
- Greenville, SC
National Provider Identifier
1043039613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 269351
- Practice address
- 47 Fisherman LN
Greenville, SC 29615-5013 - Phone
- (855) 390-6568
- NPI assigned
- Oct 9, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 269351 | SC | Primary |
Addresses
Primary practice location
47 Fisherman LN
Greenville, SC 29615-5013
Mailing address
116 Pine Tree Rd
Inman, SC 29349-6227
Phone (828) 318-6510
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269351 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1043039613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 PINE TREE RD",
"city": "INMAN",
"state": "SC",
"postal_code": "293496227",
"telephone_number": "828-318-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 FISHERMAN LN",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155013",
"telephone_number": "855-390-6568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURTADO",
"first_name": "ALEJANDRO",
"name_suffix": "III",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "269351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.