Organization Active NPI

Alena Medical Clinic LLC

  • Primary Care Nurse Practitioner
  • Duncan, SC
National Provider Identifier
1558952952
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ALENA MEDICAL CLINIC LLC
Practice address
812 Castlewood LN
Duncan, SC 29334-9820
Phone
(864) 205-3167
NPI assigned
Jan 28, 2021
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Ms. Maranda Shayannice Dendy
Title
Family Nurse Practitioner
Phone
(864) 205-3167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

812 Castlewood LN
Duncan, SC 29334-9820

Mailing address

812 Castlewood LN
Duncan, SC 29334-9820
Phone (864) 205-3167

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@alenamedical.com

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1558952952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 CASTLEWOOD LN",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349820",
            "telephone_number": "864-205-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CASTLEWOOD LN",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349820",
            "telephone_number": "864-205-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALENA MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "DENDY",
        "authorized_official_first_name": "MARANDA",
        "authorized_official_middle_name": "SHAYANNICE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "864-205-3167",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@alenamedical.com",
            "affiliation": "N",
            "address_1": "812 Castlewood Ln",
            "city": "Duncan",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293349820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duncan, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.