Shatarra Tavonia Salley, APRN, FNP-C, PMHNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24906 Issued in SC

Practice address

13455 E Wade Hampton Blvd Ste 17
Greer, SC 29651-6276

Phone

(864) 551-2384

Fax

(864) 499-2697

NPI assigned

Jun 23, 2020

Last updated

May 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Self Inspired Solutions LLC

  dba Shatarra Salley

  • Psychiatric/Mental Health Nurse Practitioner
  • Greer, SC
  • NPI 1326846254
  Medicare reassignment NPD Authorized official
• Itrust Wellness Group

  • Psychiatry Physician
  • Greenville, SC
  • NPI 1629517222

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Novant Health Urgent Cares LLC

  dba Novant Health Urgent Care

  • Urgent Care Clinic/Center
  • Anderson, SC
  • NPI 1841026382
  Medicare reassignment NPD
• Itrust Cares LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, SC
  • NPI 1225751068
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1639795859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306",
            "telephone_number": "864-968-9144",
            "fax_number": "864-968-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13455 E WADE HAMPTON BLVD STE 17",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296516276",
            "telephone_number": "864-551-2384",
            "fax_number": "864-499-2697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Boiling Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "SC",
            "postal_code": "293165304",
            "country_code": "US",
            "telephone_number": "864-599-0731",
            "fax_number": "864-599-0791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Southport Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293063813",
            "country_code": "US",
            "telephone_number": "864-520-2020",
            "fax_number": "864-640-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1762 E Main St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293072231",
            "country_code": "US",
            "telephone_number": "864-968-9144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "SHATARRA",
        "middle_name": "TAVONIA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24906",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "24906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safrit NC PLLC (Family Dental Health)
• Sage Counseling LLC
• Lee Saindon, MD
• Saints Homecare Agency LLC
• Landon Stone Saipale, MD
• Salute Medical Billing and Solutions, LLC
• Wanda Sexton Samake, DNP, PMHNP, FNP
• Jill Sampson, DPT
• Blanchard Emanuel Sanchez
• Sergio A Sanchez, MD

• Family Nurse Practitioner in Greer, SC
• Providers in Greer, 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 May 30, 2025; 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.