Individual provider Active NPI

Jacqueline Santrice Allen, APRN

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1689367583
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28262 Issued in SC
Practice address
6539 Two Notch Rd
Columbia, SC 29223-7463
Phone
(803) 708-0058
Fax
(949) 948-2859
NPI assigned
May 29, 2023
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 249901 SC
Family Nurse Practitioner 363LF0000X 28262 SC Primary

Addresses

Primary practice location

6539 Two Notch Rd
Columbia, SC 29223-7463

Mailing address

176 McSwain Dr
West Columbia, SC 29169-4825
Phone (843) 797-3636

Other practice location 1

356 Lariot Rd
Orangeburg, SC 29115-8568
Phone (813) 414-1929

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240409004580 SC Practitioner - Nurse Practitioner 4183062128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9267 Medical Plaza Dr
Suite G
North Charleston, SC 29406-9139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
249901SCMDRegistered Nurse
28262SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Feb 29, 2024 Accepting new patients
SC House Calls Inc CurrentSince Feb 29, 2024 Accepting new patients
Jacqueline Allen Primary Care LLC CurrentSince Feb 1, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

6539 Two Notch Rd
Columbia, SC 29223
Phone (803) 381-0756

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

176 McSwain Dr
West Columbia, SC 29169
Phone (803) 767-4465

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1689367583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MCSWAIN DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694825",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6539 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237463",
            "telephone_number": "803-708-0058",
            "fax_number": "949-948-2859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "356 Lariot Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291158568",
            "country_code": "US",
            "telephone_number": "813-414-1929",
            "fax_number": "888-600-1152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JACQUELINE",
        "middle_name": "SANTRICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "249901",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.