KELLY HAHN


Address: 849 82nd Pkwy, Myrtle Beach, SC 29572-4614
Phone: 8434976348

KELLY HAHN (NPI# 1023565280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023565280
Entity Type Individual
Full Name KELLY HAHN
Credential CRNP
Practice Address 849 82nd Pkwy
Myrtle Beach
SC 29572-4614
Practice Telephone 8434976348
Mailing Telephone 5707097082
Enumeration Date 2016-09-06
Last Update Date 2017-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 20486 SC Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner SP016460 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY HAHN

NPI Name Taxonomy Address Enumeration
1740678473 Kelly Hahn Behavioral Analyst 205 Allison Ln, Winfield, MO 63389-2968 2015-01-05
1114237641 Kelly H Hahn Acupuncturist 25 Terhune Ave, Lotus Affordable Acupuncture, LLC., Lodi, NJ 07644-2153 2010-10-18
1588866859 Kelly Moran Hahn Physician Assistant 20 York Street, Cb-2041, New Haven, CT 06510-3220 2007-05-31

Office Location

Street Address 849 82ND PKWY
City MYRTLE BEACH
State SC
Zip Code 29572-4614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649245358 John M Davis Specialist 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 2006-02-17
1376019786 Marissa Catherine Niemeyer Physician Assistant 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 2018-10-23
1063968055 Jessica Roberson Strickland Orthopaedic Surgery 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 2016-08-30
1255777603 Tara-marie Dinitto Surgery 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 2013-05-13
1164704201 Andrea E Romano Surgery 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 2011-09-14
1841465804 Grand Strand Surgical Specialists, LLC Orthopaedic Surgery 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 2008-04-29
1750594693 Carlos A. Fernandez Acosta Surgery 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 2007-05-07
1396877338 John Francis Dalessandro IIi Physician Assistant 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 2007-03-12
1891715850 Erin L Finley Physician Assistant 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 2006-07-20
1932168986 Eugene M. Giddens Neurological Surgery 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 2006-03-20
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City MYRTLE BEACH
Zip Code 29572

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Dataset Information

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.

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