Active NPI
Velda Lise McPherson, APRN
- Gerontology Nurse Practitioner
- Columbia, SC
National Provider Identifier
1326028861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 28215A
- Practice address
- 220 Stoneridge Dr
Columbia, SC 29210-8018 - Phone
- (254) 630-8735
- NPI assigned
- Jan 19, 2006
- Last updated
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 28215A | SC | Primary |
| Licensed Practical Nurse | 164W00000X | 141718 | TX |
Addresses
Primary practice location
220 Stoneridge Dr
Columbia, SC 29210-8018
Mailing address
961 Scarlet Oak Rd
Blythewood, SC 29016-5818
Phone (254) 630-8735
Other practice location 1
961 Scarlet Oak Rd
Blythewood, SC 29016-5818
Phone (254) 630-8735
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
| License | State | Type | Specialty |
|---|---|---|---|
| 141718 | TX | MD | Licensed Practical Nurse |
| 28215A | SC | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1326028861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 SCARLET OAK RD",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290165818",
"telephone_number": "254-630-8735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 STONERIDGE DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292108018",
"telephone_number": "254-630-8735"
}
],
"practiceLocations": [
{
"address_1": "961 Scarlet Oak Rd",
"address_purpose": "LOCATION",
"city": "Blythewood",
"state": "SC",
"postal_code": "290165818",
"country_code": "US",
"telephone_number": "254-630-8735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCPHERSON",
"first_name": "VELDA",
"middle_name": "LISE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "SC",
"license": "28215A",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TX",
"license": "141718",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.