Organization Active NPI

Premier Early Intervention LLC

  • Early Intervention Provider Agency
  • Nesmith, SC
National Provider Identifier
1427896752
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PREMIER EARLY INTERVENTION LLC
Practice address
528 Battery Park Rd
Nesmith, SC 29580-3046
Phone
(803) 873-4981
NPI assigned
Jul 19, 2024
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Sherdrell WashingtonNPI 1912202466
Title
Ceo
Phone
(803) 873-4981

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

528 Battery Park Rd
Nesmith, SC 29580-3046

Mailing address

PO Box 224662
Christiansted, VI 00822-4662
Phone (803) 873-4981

National Provider Directory

National Provider Directory

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": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1427896752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224662",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008224662",
            "telephone_number": "803-873-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 BATTERY PARK RD",
            "city": "NESMITH",
            "state": "SC",
            "postal_code": "295803046",
            "telephone_number": "803-873-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EARLY INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "SHERDRELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-873-4981"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesmith, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.