Individual provider Active NPI

Maria Floresca, PHD, NP

  • Adult Health Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1821460346
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
19806 Issued in SC
Practice address
9820 N Kings Hwy
Myrtle Beach, SC 29572-4013
Phone
(843) 497-2273
Fax
(843) 497-2502
NPI assigned
Oct 23, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 19806 SC Primary
Gerontology Nurse Practitioner 363LG0600X 19806 SC

Addresses

Primary practice location

9820 N Kings Hwy
Myrtle Beach, SC 29572-4013

Mailing address

9820 N Kings Hwy
Myrtle Beach, SC 29572-4013
Phone (843) 497-2273

Other practice location 1

4876 Barefoot Resort Bridge Rd
Suite A
North Myrtle Beach, SC 29582-9364
Phone (843) 390-4878

Other names 1

  • Dr. Maria Isabel Salomon Former name

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
Credentials
Nurse Practitioner, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821460346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724013",
            "telephone_number": "843-497-2273",
            "fax_number": "843-497-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724013",
            "telephone_number": "843-497-2273",
            "fax_number": "843-497-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4876 Barefoot Resort Bridge Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295829364",
            "country_code": "US",
            "telephone_number": "843-390-4878",
            "fax_number": "843-390-5157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORESCA",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PHD, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "19806",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "19806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "SALOMON",
            "middle_name": "ISABEL",
            "prefix": "DR.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.