KATELON MARIE SMITH


Address: 1268 S 4th St, Hartsville, SC 29550-0703
Phone: 8433323422

KATELON MARIE SMITH (NPI# 1033673405) 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) 1033673405
Entity Type Individual
Full Name KATELON MARIE SMITH
Credential FNP-C
Practice Address 1268 S 4th St
Hartsville
SC 29550-0703
Mailing Address Po Box 1090
Hartsville
SC 29551-1090
Practice Telephone 8433323422
Practice Fax Number 8433395518
Mailing Telephone 8438570111
Mailing Fax Number 8433395518
Enumeration Date 2019-01-29
Last Update Date 2019-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
22553 SC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1268 S 4th St, Hartsville, SC 295500703 8433323422
1509 S Westminister Dr, Florence, SC 295016159 8436879358

Office Location

Street Address 1268 S 4TH ST
City HARTSVILLE
State SC
Zip Code 29550-0703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720082571 Caresouth Carolina, Inc. Clinic/Center 1268 S 4th St, Hartsville, SC 29550-0703 2005-06-09
1457963043 Lindsay Martin King Pharmacist 1268 S 4th St, Hartsville, SC 29550-0703 2020-08-17
1063069441 Jocelyn Boyer Social Worker 1268 S 4th St, Hartsville, SC 29550 2019-08-21
1518477553 Mary Hinson Pharmacist 1268 S 4th St, Hartsville, SC 29550-0703 2017-10-04
1841721529 Heather Deanna Alexander Nurse Practitioner 1268 S 4th St, Hartsville, SC 29550-0703 2017-03-23
1144670266 Daniel R Conner Family Medicine 1268 S 4th St, Hartsville, SC 29550-0703 2016-06-20
1114301165 Shelly Conner Nurse Practitioner 1268 S 4th St, Hartsville, SC 29550-0703 2015-07-18
1740663038 Jennifer M Lynch Nurse Practitioner 1268 S 4th St, Hartsville, SC 29550-0703 2015-07-03
1821480195 Angela Council Nurse Practitioner 1268 S 4th St, Hartsville, SC 29550-0703 2015-02-24
1104221647 Amy Law Pharmacist 1268 S 4th St, Hartsville, SC 29550-0703 2014-10-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790391456 Empire Audiology, LLC Audiologist 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 2020-09-18
1386125797 Caresouth Hha Holdings of Washington, LLC Hospice Care, Community Based 696 Medical Park Dr Ste 2, Hartsville, SC 29550 2018-08-23
1740760735 Danna Dubose Coe Home Health 1575 Winding Ridge Drive, Hartsville, SC 29550 2018-08-18
1548748452 Samantha Elizabeth Kieffer Counselor 510 Carolina Ave, Hartsville, SC 29550 2018-08-02
1790277879 Katarina K Epps Counselor 628 E Carolina Ave, Hartsville, SC 29550 2018-06-04
1497245328 Mary Alice King Counselor 513 Woodland Drive, Hartsville, SC 29550 2018-05-16
1003321167 Mcleod Physician Associates II Internal Medicine 1319 South 4th Street, Hartsville, SC 29550 2017-12-11
1902347677 William H Long LLC Family Medicine 420a W Carolina Ave, Hartsville, SC 29550 2017-03-15
1821459470 April S Crawley Nurse Practitioner 1 N 2nd St # C05, Hartsville, SC 29550 2016-03-10
1548635873 Melissa Davis Ellington Registered Nurse 900 South 4th Street, Hartsville, SC 29550 2015-12-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265093470 Casey Gooden Mcleod Nurse Practitioner 604 N 5th St, Hartsville, SC 29550-3212 2019-06-27
1477065837 Kai-l Cobb Nurse Practitioner 140 Macon Way, Hartsville, TN 37074-2080 2017-10-25
1821459470 April S Crawley Nurse Practitioner 1 N 2nd St # C05, Hartsville, SC 29550 2016-03-10
1144531658 Crowder Family Healthcare Nurse Practitioner 211 East Mcmurry Blvd., Hartsville, TN 37074 2010-06-30
1225364474 Amanda S Livingston Nurse Practitioner 755 Mcmurry Blvd E, Hartsville, TN 37074-2041 2009-10-22
1275680704 James A Grzech Nurse Practitioner 448 Novelty Ave, Hartsville, SC 29550-3300 2007-01-05
1942239736 Andrea B Trader Nurse Practitioner 206 Swift Creek Rd, Hartsville, SC 29550-4383 2006-07-02
1992286173 Megan Elizabeth Whitaker Nurse Practitioner 213 Broadway, Hartsville, TN 37074-1303 2018-08-24
1700375136 Jacob Michael Stephens Nurse Practitioner 140 Macon Way, Hartsville, TN 37074 2018-05-01
1861989733 Barbara Dawn Calhoun Nurse Practitioner 206 Swift Creek Rd, Hartsville, SC 29550-4383 2018-04-17
Find all providers in HARTSVILLE

Competitor

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City HARTSVILLE
Zip Code 29550

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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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