MICHELLE LYNN ROTTNER (NPI# 1033243209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033243209 |
Entity Type | Individual |
Full Name | MICHELLE LYNN ROTTNER |
Other Name | MICHELLE LYNN ROARK |
Credential | FNP |
Practice Address |
11916 Highway 707 Ste D Murrells Inlet SC 29576 |
Mailing Address |
Po Box 1209 Murrells Inlet SC 29576-1209 |
Practice Telephone | 8436528450 |
Practice Fax Number | 8436528451 |
Mailing Telephone | 8436528220 |
Mailing Fax Number | 8436520127 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 71002798A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21514 | SC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9371635 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209-001576 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200976670 | 05 | |
FL | BCBSFL | YON25 | 01 |
IN | BCBS | 000000796630 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2569 Gulf Breeze Pkwy, Gulf Breeze, FL 325633043 | 8509340932 | 8509340737 |
Street Address |
11916 HIGHWAY 707 STE D |
City | MURRELLS INLET |
State | SC |
Zip Code | 29576 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750344818 | Lori A Hess | Family Medicine | 11916 Highway 707 Ste D, Murrells Inlet, SC 29576-9610 | 2006-04-10 |
1720597743 | Georgetown Physician Associates, LLC | Family Medicine | 11916 Highway 707 Ste D, Murrells Inlet, SC 29576-9610 | 2017-09-21 |
1033417522 | Lisa Centilli | Family Medicine | 11916 Highway 707 Ste D, Murrells Inlet, SC 29576 | 2011-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
Find all providers in zip 29576 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407352149 | Roxanne N Altman | Nurse Practitioner | 407 Vereen Rd, Murrells Inlet, SC 29576-7710 | 2018-04-02 |
1043729106 | Danielle Karin Brown | Nurse Practitioner | 496 Hammock Ave, Murrells Inlet, SC 29576-6119 | 2017-09-21 |
1699217653 | Naomi Jean Ferguson | Nurse Practitioner | 912 Inlet Square Dr Ste A, Murrells Inlet, SC 29576-7812 | 2016-11-08 |
1306127022 | Audrey Cheryl Massie | Nurse Practitioner | 637 Bellamy Ave Unit C, Murrells Inlet, SC 29576-6472 | 2011-09-08 |
1043460215 | Angela Carter Sheridan | Nurse Practitioner | 4111 Murrells Inlet Rd, Murrells Inlet, SC 29576-6208 | 2008-09-24 |
1023280583 | Angela Pace Stiles | Nurse Practitioner | 2115 S Highway 17, Unit B, Murrells Inlet, SC 29576-7607 | 2008-03-25 |
1154508166 | Kerri Jo Mccoy | Nurse Practitioner | 3710 Highway 17, Murrells Inlet, SC 29576-5005 | 2008-01-22 |
1831719384 | Jillian Williams | Nurse Practitioner | 3710 Highway 17, Murrells Inlet, SC 29576-5005 | 2020-04-24 |
1063047454 | Margaret F Parker | Nurse Practitioner | 11871 Plaza Dr, Murrells Inlet, SC 29576-7450 | 2020-03-06 |
1629600192 | Adrienne Cohen | Nurse Practitioner | 637 Bellamy Ave Unit C, Murrells Inlet, SC 29576-6472 | 2020-02-12 |
Find all providers in MURRELLS INLET |
City | MURRELLS INLET |
Zip Code | 29576 |
Please comment or provide details below to improve the information on MICHELLE LYNN ROTTNER.
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.