ODETTE D FISHER-GLOVER (NPI# 1053398792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053398792 |
| Entity Type | Individual |
| Full Name | ODETTE D FISHER-GLOVER |
| Credential | FNP |
| Practice Address |
3700 Forest Dr Ste 200 Columbia SC 29204-4010 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7722 |
| Practice Telephone | 8032194686 |
| Practice Fax Number | 8039736626 |
| Mailing Telephone | 8436956071 |
| Mailing Fax Number | 8435695879 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN1592 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0579 | 05 |
| Street Address |
3700 FOREST DR STE 200 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545325 | Peggy V. Toliver-dingle | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2005-08-17 |
| 1285248781 | Ppcp Specialty Physicians, LLC | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2020-09-02 |
| 1205484250 | Rachel E. Kessler | Nurse Practitioner | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2019-09-03 |
| 1437712445 | Palmetto Primary Care Physicians | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2019-04-16 |
| 1427497817 | Binyue Chang | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2013-06-18 |
| 1275888190 | Sarah Mizelle King | Nurse Practitioner | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2012-07-17 |
| 1205134939 | Brandon W. Palmer | Nurse Practitioner | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2011-03-03 |
| 1659400943 | Christopher Buckingham Ballou | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2007-03-05 |
| 1801843529 | Dana Mairi Nairn | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2006-05-28 |
| 1750376521 | James Richard Allison IIi | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2005-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1316544315 | Rezvaneh Goodarzi | Nurse Practitioner | 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 | 2020-10-03 |
| 1316559255 | Lauren Olivia Lenauer | Nurse Practitioner | 1600 E Broadway # 300, Columbia, MO 65201-5844 | 2020-08-21 |
| 1285246272 | Lourdes Claire De Las Alas | Nurse Practitioner | 6005 Shepherd Sq, Columbia, MD 21044-3114 | 2020-08-20 |
| 1619587540 | Josey Abraham | Nurse Practitioner | 305 Aiken Hunt Cir, Columbia, SC 29223-8407 | 2020-08-05 |
| 1588274765 | Tomeka Nichole Jackson | Nurse Practitioner | 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 | 2020-08-03 |
| 1528696762 | Mark Edward Merkel | Nurse Practitioner | 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 | 2020-04-01 |
| 1306489265 | Andrew Leitch | Nurse Practitioner | 313 N Trenholm Rd, Columbia, SC 29206-3207 | 2019-10-23 |
| 1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
| Find all providers in COLUMBIA | ||||
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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.