Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Theresa Calderon, DNPAPRNFNP-C

Individual provider Family Nurse Practitioner · NPI 1083965347

Mrs. Theresa Calderon, DNPAPRNFNP-C is a Nurse Practitioner in Greenwood, South Carolina. Qualified in 2018, 8 years ago. Practices with Self Medical Group, a 396-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alaska and South Carolina.

Years since qualifying
8
Licensed in
AK, SC
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

115 Overland Dr
Greenwood, SC 29646-4053
Phone: (864) 227-6641
Fax: (864) 227-3953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1650 Cowles St, Fairbanks, AK 99701 — (907) 458-6450
  • 3773 W Main Street Rd, Batavia, NY 14020-9410 — (585) 356-3162

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 25802 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 142059 (AK)

Record details

NPI number1083965347
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPAPRNFNP-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2012
Last updated in NPPESNovember 6, 2023
Certification dateFebruary 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations20 on file with Medicare

Other providers in Greenwood