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MARISA VELLA GENTRY NP-C NPI 1518374586


NPI Information

NPI: 1518374586
Provider Name: MARISA VELLA GENTRY, NP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: LEXINGTON HEALTH INC

PECOS Registration: Yes

Address:
7033 SAINT ANDREWS RD STE 305
COLUMBIA, SC
ZIP 29212
Phone: (803) 936-7480
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Marisa Vella Gentry, NP-C is a primary care nurse practitioner in Columbia, SC with 10 years of experience. Marisa Vella Gentry, NP-C NPI is 1518374586. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7033 SAINT ANDREWS RD STE 305
COLUMBIA, SC
ZIP 29212-181
Phone: (803) 936-7480
Fax: (803) 936-7481

The NPI 1518374586 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 7/22/2014 and was last updated on 10/27/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily18959SOUTH CAROLINANo
2363LP2300XNurse PractitionerPrimary Care18959SOUTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NP4359MEDICAIDSOUTH CAROLINA

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: 11/14/2023

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.