Individual provider Active NPI

Alisha Michelle Vernacchio, FNP

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1225558687
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21408 Issued in SC
Practice address
59 George St
Charleston, SC 29401-1422
Phone
(843) 718-6881
NPI assigned
Jun 26, 2017
Last updated
Apr 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21408 SC Primary

Addresses

Primary practice location

59 George St
Charleston, SC 29401-1422

Mailing address

59 George St
Charleston, SC 29401-1422
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, PA, VA, WI, NY6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20180213003121 SC Practitioner - Nurse Practitioner 1153681077
I20220627003370 NC Practitioner - Nurse Practitioner 1153681077
I20220823003717 PA Practitioner - Nurse Practitioner 1153681077 Reassigns benefits to 1 organization
I20220928001590 VA Practitioner - Nurse Practitioner 1153681077
I20221110000750 WI Practitioner - Nurse Practitioner 1153681077 Reassigns benefits to 1 organization
I20221209000822 NY Practitioner - Nurse Practitioner 1153681077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21408SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of New York, P.C. Family CurrentSince Sep 12, 2022 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

Interoperability endpoints

  • Direct secure messaging: alisha.vernacchio.1@30093.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1225558687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GEORGE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011422",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 GEORGE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011422",
            "telephone_number": "843-718-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNACCHIO",
        "first_name": "ALISHA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.