WILMA J SPENCER (NPI# 1003035965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003035965 |
| Entity Type | Individual |
| Full Name | WILMA J SPENCER |
| Credential | NP |
| Practice Address |
7724 N Kings Hwy Myrtle Beach SC 29572-3041 |
| Mailing Address |
Po Box 547 Little River SC 29566-0547 |
| Practice Telephone | 8436631013 |
| Practice Fax Number | 8436631017 |
| Mailing Telephone | 8436631013 |
| Mailing Fax Number | 8436631017 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2011-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R78330 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | TAX ID # | 57-0672117 | 01 |
| Street Address |
7724 N KINGS HWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700837853 | Thomas F. Garland | Family Medicine | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2006-05-13 |
| 1346641131 | Dawn Marie Coffin | Nurse Practitioner | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2014-09-11 |
| 1740444645 | Bennie L Smith | Dentist | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2008-07-10 |
| 1184783284 | Little River Medical Center, Inc. | Family Medicine | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2006-12-06 |
| 1063429645 | Deborah Ann Klick | Social Worker | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2006-08-03 |
| 1194778423 | Paul S Cohen | Internal Medicine | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466145 | Ashley Anne Smith | Nurse Practitioner | 581 Hinson Dr Apt 834, Myrtle Beach, SC 29579-4460 | 2020-10-30 |
| 1447801030 | Regenerative Solutions LLC | Nurse Practitioner | 4016 River Oaks Dr Ste 4, Myrtle Beach, SC 29579-6673 | 2019-09-25 |
| 1548811342 | Rachel Dorr | Nurse Practitioner | 185 Fresh Dr Ste A, Myrtle Beach, SC 29579-4436 | 2019-09-23 |
| 1700446234 | Svetlana Claire Brusyanina | Nurse Practitioner | 117 Breakers Dr Unit 233, Myrtle Beach, SC 29579-4428 | 2019-06-17 |
| 1699943399 | Terry Lynn Pratt | Nurse Practitioner | 3127 Mr Joe White Ave, Myrtle Beach, SC 29577-6712 | 2008-02-15 |
| 1871592162 | Sandra Schultz-peters | Nurse Practitioner | 1221 21st Ave N, Myrtle Beach, SC 29577 | 2005-07-19 |
| 1124657556 | Ryan Wilson | Nurse Practitioner | 2761 Agnes Ln, Myrtle Beach, SC 29577-2029 | 2020-04-07 |
| 1750922233 | Vicki Grigg Chacon | Nurse Practitioner | 1201 48th Ave N, Myrtle Beach, SC 29577-5452 | 2019-10-04 |
| 1417598186 | Caitlin Mccormick | Nurse Practitioner | 4610 Oleander Dr, Myrtle Beach, SC 29577-5752 | 2019-10-03 |
| 1881235877 | Ashley Brooke Alley | Nurse Practitioner | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2019-10-01 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.