Active NPI
Manuela Aristizabal Calle, LPN
- Licensed Practical Nurse
- Greenville, SC
National Provider Identifier
1922566942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 50832
- Practice address
- 155 Brozzini CT
Suite a-D
Greenville, SC 29615 - Phone
- (864) 603-0644
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 50832 | SC | Primary |
Addresses
Primary practice location
155 Brozzini CT
Suite a-D
Greenville, SC 29615
Mailing address
155 Brozzini CT
Suite a-D
Greenville, SC 29615
Phone (864) 603-0644
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50832 | SC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1922566942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 BROZZINI CT",
"address_2": "SUITE A-D",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "864-603-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 BROZZINI CT",
"address_2": "SUITE A-D",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "864-603-0644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARISTIZABAL CALLE",
"first_name": "MANUELA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-08",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "SC",
"license": "50832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.