Selena Witherspoon

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

5033 Dick Pond Rd Unit a
Myrtle Beach, SC 29588-9680

Phone

(843) 220-0050

NPI assigned

Jun 26, 2023

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Pleasantville Home Care LLC

  • In Home Supportive Care Agency
  • Myrtle Beach, SC
  • NPI 1548087810
  NPD Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1144906918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 OPHELIA WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776784",
            "telephone_number": "704-299-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5033 DICK POND RD UNIT A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295889680",
            "telephone_number": "843-220-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "SELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaylen Lane Wingert, DO
• Corinne Marie Wisdo, DPM
• Isabella Bernadette Wise, RN
• Mackenzie Ann Wisniewski
• Joan M Wiss, MD
• Dacia Helen Woessner, ACNP
• Ashley Alley Wofford, APRN
• Howard Wong
• Lisa Anne Wood-Sanders, ATC
• Cedric Wood

• Non-emergency Medical Transport (VAN) in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.