Active NPI
Alena Medical Clinic LLC
- Primary Care Nurse Practitioner
- Duncan, SC
National Provider Identifier
1558952952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@alenamedical.com |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Coppell, TX
- NPI 1982105938
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.