WELLBORN UPSTATE, LLC (NPI# 1033672233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033672233 |
Entity Type | Organization |
Organization Name | WELLBORN UPSTATE, LLC |
Practice Address |
850 Wade Hampton Blvd Building B-3, Suite 102 Greenville SC 29609-4947 |
Mailing Address |
1955 Drayton Rd Unit 832 Drayton SC 29333-5030 |
Practice Telephone | 8333232676 |
Practice Fax Number | 8883407874 |
Mailing Telephone | 9095757323 |
Enumeration Date | 2019-04-13 |
Last Update Date | 2020-03-17 |
Authorized Official Name | JENNIFER STEWART (OWNER, LM) |
Authorized Official Telephone | 9095757323 |
Authorized Official Credential | IBCLC, CPM, LM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
Y | 176B00000X | Midwife | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPPES | 1245520774 | 01 | |
SC | NPPES | 1003920331 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1000 S Pine St, Spartanburg, SC 293023375 | 8333232676 |
Street Address |
850 WADE HAMPTON BLVD BUILDING B-3, SUITE 102 |
City | GREENVILLE |
State | SC |
Zip Code | 29609-4947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003920331 | Amy Bixby-redman | Midwife | 850 Wade Hampton Blvd, Building B-3 Suite 102, Greenville, SC 29609-4947 | 2006-08-17 |
1447599642 | Sarah Eddleman | Marriage & Family Therapist | 850 Wade Hampton Blvd, Suite C, Greenville, SC 29609-4945 | 2013-02-07 |
1003167990 | All About Change | Counselor | 850 Wade Hampton Blvd, Suite C, Greenville, SC 29609-4945 | 2012-10-02 |
1245520774 | Jennifer G Stewart | Midwife | 850 Wade Hampton Blvd, Building B-3, Suite 102, Greenville, SC 29609-4947 | 2011-04-18 |
1154658334 | Patricia Jean Ries Sawyer | Counselor | 850 Wade Hampton Blvd, Suite C, Greenville, SC 29609-4945 | 2009-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
1417434655 | Kathryn Dorothy Muschick | Pediatrics | 900 W. Faris Dr., Greenville, SC 29609 | 2018-07-20 |
1942705645 | The Wright Home Care, LLC | Social Worker | 217 E Stone Ave Ste 8, Greenville, SC 29609 | 2018-03-26 |
1205388386 | Galina Hufstetler | Physical Therapist | 414 Summit Drive, Apt. 313, Greenville, SC 29609 | 2016-10-25 |
1811303225 | Cal Jones LLC | Pharmacy | 961 Montebello Dr, Suite 2, Greenville, SC 29609 | 2014-07-07 |
1982954319 | John C Shaughnessy | Pharmacist | 1141 State Park Road, Greenville, SC 29609 | 2012-09-13 |
1770842726 | Neil S Sondov | Counselor | 1100 Rutherford Road, Greenville, SC 29609 | 2012-05-11 |
1790044915 | Crystal Ervin | Counselor | 1 Chick Springs Rd Ste 210a, Greenville, SC 29609 | 2012-05-08 |
1881992840 | Cherrydale Dental Associates, LLC | Dentist | 105 State Park Rd, Greenville, SC 29609 | 2011-03-01 |
1649584483 | Paul E Waters | Pharmacist | 1 East Stone Ave, Greenville, SC 29609 | 2010-08-04 |
Find all providers in zip 29609 |
Taxonomy Code | 176B00000X |
Grouping | Other Service Providers |
Classification | Midwife |
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912507336 | Blake August Mcgarel | Midwife | 3707 State Park Rd, Greenville, SC 29609-6848 | 2020-10-26 |
1225665102 | Emily Megan Graham | Midwife | 106 Welcome St, Greenville, SC 29611-5654 | 2020-03-23 |
1316412687 | Rachel Tiller | Midwife | 1196 Ft Jefferson Ave, Greenville, OH 45331-4533 | 2018-10-12 |
1841537412 | Audrey Joanna Stucker | Midwife | 2406 Church St, Greenville, TX 75401-3531 | 2013-01-15 |
1699027664 | Grace Susanne Hannon | Midwife | 380 Abby Cir, Greenville, SC 29607-6428 | 2012-10-15 |
1669785887 | Upstate Birth Center | Midwife | 1250 Wade Hampton Blvd, Suite C, Greenville, SC 29615 | 2010-07-16 |
1003920331 | Amy Bixby-redman | Midwife | 850 Wade Hampton Blvd, Building B-3 Suite 102, Greenville, SC 29609-4947 | 2006-08-17 |
1619926094 | Amy Beth Leland | Midwife | 23 Mills Ave, Greenville, SC 29605-4015 | 2006-05-10 |
1114551470 | Rooted Birth Midwifery | Midwife | 106 Welcome St, Greenville, SC 29611-5654 | 2020-02-26 |
1538550827 | Kristine Liaz Oglesby | Midwife | 1120 Grove Rd, Suite B, Greenville, SC 29605-4656 | 2015-02-09 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29609 |
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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.