DR. ELIZABETH M MCMICKEN (NPI# 1023538030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023538030 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH M MCMICKEN |
| Credential | DNP, FNP-C |
| Practice Address |
131 Sunset Ct West Columbia SC 29169-2429 |
| Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
| Practice Telephone | 8037962222 |
| Practice Fax Number | 8037967839 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
21044 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 21044 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
131 SUNSET CT |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285691345 | Gwendolyn C Galphin | Internal Medicine | 131 Sunset Ct, West Columbia, SC 29169-2429 | 2006-05-01 |
| 1285232306 | Lexington Health Inc | Internal Medicine | 131 Sunset Ct, West Columbia, SC 29169-2429 | 2020-10-12 |
| 1710998034 | Brent M Powers | Internal Medicine | 131 Sunset Ct, West Columbia, SC 29169-2429 | 2006-08-11 |
| 1770506289 | Edwin R Brown | Internal Medicine | 131 Sunset Ct, West Columbia, SC 29169-2429 | 2006-07-25 |
| 1992752570 | Lexington County Health Services District, Inc. | Internal Medicine | 131 Sunset Ct, West Columbia, SC 29169-2429 | 2006-05-28 |
| 1700835493 | Vijay A Koli | Internal Medicine | 131 Sunset Ct, West Columbia, SC 29169-2429 | 2006-05-09 |
| 1740248780 | Hampton S Alford Jr. | Internal Medicine | 131 Sunset Ct, West Columbia, SC 29169-2429 | 2006-05-01 |
| 1649238684 | John M Lazaro | Internal Medicine | 131 Sunset Ct, West Columbia, SC 29169-2429 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| 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 |
|---|---|---|---|---|
| 1376675108 | Theresa B Prince | Nurse Practitioner | 111 Medical Ln E, West Columbia, SC 29169-4813 | 2007-03-09 |
| 1568572139 | Janice H Morrow | Nurse Practitioner | 524 Charity Ln, West Columbia, SC 29170-1043 | 2006-08-30 |
| 1598729709 | Peggy S Collins | Nurse Practitioner | 2705 Leaphard Road, Agape Senior Primary Care, Inc., Dba Agape Physicians C, West Columbia, SC 29169 | 2006-04-14 |
| 1538779178 | Kerrera Charnay Tindal | Nurse Practitioner | 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2020-08-07 |
| 1831718550 | Brittany Liles Howard | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2020-04-13 |
| 1043845571 | Amy C Romine | Nurse Practitioner | 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | 2020-03-04 |
| 1952934473 | Katrina Denise Middleton | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2020-02-13 |
| 1700418688 | Casey Lynn Spencer | Nurse Practitioner | 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2020-02-07 |
| 1215569462 | Calvin Drew Beckwith | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2020-02-05 |
| 1376181495 | Lance Garris | Nurse Practitioner | 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2019-12-19 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.