KELLY HAHN (NPI# 1023565280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
849 82ND PKWY |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29572-4614 |
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 |
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.