Individual provider Active NPI

Kenisha McElveen, FNP-C

  • Family Nurse Practitioner
  • Bluffton, SC
National Provider Identifier
1487130837
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
817718 Issued in NV
Practice address
38 Sheridan Park Cir Ste F
Bluffton, SC 29910-7023
Phone
(843) 757-6744
Fax
(843) 757-6743
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22026 SC
Family Nurse Practitioner 363LF0000X 817718 NV Primary

Addresses

Primary practice location

38 Sheridan Park Cir Ste F
Bluffton, SC 29910-7023

Mailing address

38 Sheridan Park Cir Ste F
Bluffton, SC 29910-7023
Phone (843) 757-6744

Other practice location 1

2711 Colonial Dr
Columbia, SC 29203-6818
Phone (803) 726-9300

Other practice location 2

312 Dorado Dr
Florence, SC 29505-6006
Phone (803) 603-0743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22026SCMDHospice and Palliative Medicine (Family Medicine) Physician
817718NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Pain & Spine Center LLC Current Accepting new patients
R&B Associates Inc. CurrentSince Sep 7, 2021 Accepting new patients

Locations

38 Sheridan Park Cir
Ste F
Bluffton, SC 29910
Phone (843) 757-6744

222 Pembroke Dr
Hilton Head Island, SC 29926
Phone (843) 682-2345

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1487130837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SHERIDAN PARK CIR STE F",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107023",
            "telephone_number": "843-757-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SHERIDAN PARK CIR STE F",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107023",
            "telephone_number": "843-757-6744",
            "fax_number": "843-757-6743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036818",
            "country_code": "US",
            "telephone_number": "803-726-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Dorado Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295056006",
            "country_code": "US",
            "telephone_number": "803-603-0743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCELVEEN",
        "first_name": "KENISHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22026",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "817718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.