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JOERESTY ABELIDA AGACNP NPI 1053943217


NPI Information

NPI: 1053943217
Provider Name: JOERESTY ABELIDA, AGACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
890 W FARIS RD STE 580
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-7874
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Joeresty Abelida, AGACNP is an acute care nurse practitioner in Greenville, SC with 5 years of experience. Joeresty Abelida, AGACNP NPI is 1053943217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

890 W FARIS RD STE 580
GREENVILLE, SC
ZIP 29605-281
Phone: (864) 455-7874
Fax: (864) 455-8933

The NPI 1053943217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2020 and was last updated on 5/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LC0200XNurse PractitionerCritical Care Medicine200190OKLAHOMANo
2363LC0200XNurse PractitionerCritical Care MedicineAP144916TEXASNo
3363LA2100XNurse PractitionerAcute Care26046SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AP144916OTHERTEXASTEXAS BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.