Shri Dhanvantri PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SHRI DHANVANTRI PA

Practice address

1098 E Main St
Duncan, SC 29334-9645

Phone

(786) 833-8829

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Louis Logan

Title

Manager

Phone

(301) 259-1222

Specialties & licenses 1

Addresses

Other names 1

• APPLE A DAY CONVENIENT CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Jessica Lloyd, APRN

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1164997003
  Medicare reassignment NPD
• Snehal Patel, FNP-BC

  • Family Nurse Practitioner
  • Duncan, SC
  • NPI 1962852897
  Medicare reassignment NPD

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1124882345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 E MAIN ST",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 E MAIN ST",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349645",
            "telephone_number": "786-833-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI DHANVANTRI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-259-1222"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPLE A DAY CONVENIENT CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "APPLE A DAY CONVENIENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Maigue San Buenaventura, PHARMACIST
• Margaret Elizabeth Schell, COTA/L
• Katrina Grace Scott, DPT
• Thasneem Faroze Shaik
• Richard James Christian Sherrow
• Brooke Elizabeth Simpson
• James Kirkland Smith, MSW
• Joanna Smith, FNP-BC
• Tracy Y Smith
• South Carolina Podiatric Physicians and Surgeons Group, LLC

• Family Nurse Practitioner in Duncan, SC
• Providers in Duncan, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.