Organization Active NPI

Self Inspired Solutions LLC

Doing business as Shatarra Salley

  • Psychiatric/Mental Health Nurse Practitioner
  • Greer, SC
National Provider Identifier
1326846254
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SELF INSPIRED SOLUTIONS LLC
Doing business as
Shatarra Salley
Practice address
13455 E Wade Hampton Blvd Ste 17
Greer, SC 29651-6276
Phone
(864) 551-2384
NPI assigned
Mar 5, 2025
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Shatarra Salley, APRN,FNP-BC,PMHNP-BCNPI 1639795859
Title
Owner/NP
Phone
(843) 344-5709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

13455 E Wade Hampton Blvd Ste 17
Greer, SC 29651-6276

Mailing address

13455 E Wade Hampton Blvd Ste 17
Greer, SC 29651-6276
Phone (864) 551-2384

Other names 1

  • Shatarra Salley Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250411000577 SC Part B Supplier - Clinic/Group Practice 2769906726 Receives reassigned benefits from 1 practitioner
Practice locations: Greer, SC

National Provider Directory

National Provider Directory

Locations

13455 E Wade Hampton Blvd
Ste 17
Greer, SC 29651
Phone (864) 551-2384

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1326846254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13455 E WADE HAMPTON BLVD STE 17",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296516276",
            "telephone_number": "864-551-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13455 E WADE HAMPTON BLVD STE 17",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296516276",
            "telephone_number": "864-551-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF INSPIRED SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "SALLEY",
        "authorized_official_first_name": "SHATARRA",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "843-344-5709",
        "authorized_official_credential": "APRN,FNP-BC,PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shatarra Salley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2025; 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.