Individual provider Active NPI

Lizandra Alvarez, FNP

  • Family Medicine Physician
  • Greer, SC
National Provider Identifier
1205537115
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26946 Issued in SC
Practice address
501 Memorial Drive Ext Ste CD
Greer, SC 29651-1123
Phone
(864) 520-2836
Fax
(864) 469-5262
NPI assigned
Mar 16, 2023
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26946 SC Primary

Addresses

Primary practice location

501 Memorial Drive Ext Ste CD
Greer, SC 29651-1123

Mailing address

501 Memorial Drive Ext Ste C-D
Greer, SC 29651-1123
Phone (864) 520-2836

Other identifiers 1

IdentifierTypeStateIssuer
26946OtherSCSOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING AND REGULATION

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
26946SCMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1205537115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MEMORIAL DRIVE EXT STE C-D",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511123",
            "telephone_number": "864-520-2836",
            "fax_number": "864-469-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MEMORIAL DRIVE EXT STE CD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511123",
            "telephone_number": "864-520-2836",
            "fax_number": "864-469-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "LIZANDRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "26946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING AND REGULATION",
            "identifier": "26946",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.