Active NPI
Alisa G. Whittington, FNP
- Family Nurse Practitioner
- Mount Pleasant, SC
National Provider Identifier
1447749015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21758
- Practice address
- 1671 Belle Isle Ave Ste 110J
Mount Pleasant, SC 29464-8336 - Phone
- (844) 994-6633
- Fax
- (470) 300-7913
- NPI assigned
- May 9, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21758 | SC | Primary |
Addresses
Primary practice location
1671 Belle Isle Ave Ste 110J
Mount Pleasant, SC 29464-8336
Mailing address
1671 Belle Isle Ave Ste 110J
Mount Pleasant, SC 29464-8336
Phone (844) 994-6633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5233 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180821001478 | SC | Practitioner - Nurse Practitioner | 9638428873 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21758 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1447749015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 BELLE ISLE AVE STE 110J",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294648336",
"telephone_number": "844-994-6633",
"fax_number": "470-300-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1671 BELLE ISLE AVE STE 110J",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294648336",
"telephone_number": "844-994-6633",
"fax_number": "470-300-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTINGTON",
"first_name": "ALISA",
"middle_name": "G.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "21758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP5233",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.