Active NPI
Kenisha McElveen, FNP-C
- Family Nurse Practitioner
- Bluffton, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 817718
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22026 | SC | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
| 817718 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Pain & Spine Center LLC | Current | Accepting new patients | |
| R&B Associates Inc. | Current | 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.
-
- Pain Medicine (Anesthesiology) Physician
- Bluffton, SC
- NPI 1356198857
-
- Pain Medicine (Anesthesiology) Physician
- Bluffton, SC
- NPI 1780267138
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.