Penny Lois Melendez-Salazar, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28220 Issued in SC

Practice address

2021 Gibraltar Rd
Cayce, SC 29033-1405

Phone

(803) 960-3097

NPI assigned

Jan 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1578333167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 GIBRALTAR RD",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290331405",
            "telephone_number": "803-960-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 GIBRALTAR RD",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290331405",
            "telephone_number": "803-960-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ-SALAZAR",
        "first_name": "PENNY",
        "middle_name": "LOIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chely Lynne McKoy, PT, DPT, SCAT, ATC
• Jennifer Elaine McNair
• Saquia McNeil, LPC
• Medical Products, Inc. (Medpro)
• Victoria Christa Meier, PT, DPT
• Mental Health America of South Carolina
• Mha-SC
• Mha-SC
• Kasey Ann Miles
• Lauren Elizabeth Miller, PT, DPT

• Family Nurse Practitioner in Cayce, SC
• Providers in Cayce, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.