Active NPI
Alexanderia Valentin, FNP
- Family Nurse Practitioner
- Ballentine, SC
National Provider Identifier
1639644644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22101
- Practice address
- 1330 Dutch Fork Rd
Ballentine, SC 29002 - Phone
- (803) 749-1666
- NPI assigned
- Oct 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22101 | SC | Primary |
Addresses
Primary practice location
1330 Dutch Fork Rd
Ballentine, SC 29002
Mailing address
121 Caddis Creek Rd
Irmo, SC 29063-8139
Phone (843) 496-7888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients |
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.
-
- Pharmacy
- Anderson, SC
- NPI 1114020971
-
- Pharmacy
- Irmo, SC
- NPI 1346309408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1639644644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CADDIS CREEK RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290638139",
"telephone_number": "843-496-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 DUTCH FORK RD",
"city": "BALLENTINE",
"state": "SC",
"postal_code": "29002",
"telephone_number": "803-749-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTIN",
"first_name": "ALEXANDERIA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-05",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "22101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballentine, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.