Individual provider Active NPI

Elisabeth Malia Sherman, L.AC.

  • Acupuncturist
  • Mt Pleasant, SC
National Provider Identifier
1124366604
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACUP 193 Issued in SC
Practice address
250 Mathis Ferry Rd
Mt Pleasant, SC 29464-2988
Phone
(843) 814-0428
NPI assigned
Jan 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACUP 193 SC Primary
Acupuncturist 171100000X AC 4796 CA

Addresses

Primary practice location

250 Mathis Ferry Rd
Mt Pleasant, SC 29464-2988

Mailing address

11 Bedons Aly
Charleston, SC 29401-2522
Phone (843) 814-0428

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

State licenses

LicenseStateTypeSpecialty
AC 4796CAMDAcupuncturist
ACUP 193SCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1124366604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BEDONS ALY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294012522",
            "telephone_number": "843-814-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MATHIS FERRY RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642988",
            "telephone_number": "843-814-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "ELISABETH",
        "middle_name": "MALIA",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "SC",
            "license": "ACUP 193",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 4796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.