Individual provider Active NPI

Alexis Lashelle Salters

  • Nurse's Aide
  • Moncks Corner, SC
National Provider Identifier
1760127914
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
167576 Issued in SC
Practice address
213 Gulledge St Apt B
Moncks Corner, SC 29461-3564
Phone
(843) 425-7482
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 167576 SC Primary

Addresses

Primary practice location

213 Gulledge St Apt B
Moncks Corner, SC 29461-3564

Mailing address

213 Gulledge St Apt B
Moncks Corner, SC 29461-3564
Phone (843) 425-7482

Other identifiers 2

IdentifierTypeStateIssuer
735714MedicaidSC
149722OtherSCNON EMT MEDICAL TRANSPORTATION SERVICES

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
167576SCMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Here for You Home Healthcare CurrentSince May 7, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1760127914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 GULLEDGE ST APT B",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613564",
            "telephone_number": "843-425-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 GULLEDGE ST APT B",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613564",
            "telephone_number": "843-425-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTERS",
        "first_name": "ALEXIS",
        "middle_name": "LASHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "SC",
            "license": "167576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "735714",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON EMT MEDICAL TRANSPORTATION SERVICES",
            "identifier": "149722",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.