MRS. TYNER LEIGH RAY LOLLIS (NPI# 1063770147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063770147 |
| Entity Type | Individual |
| Full Name | MRS. TYNER LEIGH RAY LOLLIS |
| Credential | MSN, NNP-BC |
| Practice Address |
171 Ashley Ave Charleston SC 29425-4210 |
| Mailing Address |
Po Box 751461 Charlotte NC 28275-1461 |
| Practice Telephone | 8437921414 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
18835 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
5005582 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
171 ASHLEY AVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203922 | Nicholas J Pastis Jr. | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8900 | 2005-05-24 |
| 1760083745 | Eleta Lazar Donelan | Physician Assistant | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-11-05 |
| 1285231340 | Bree Romecki | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-10-02 |
| 1942812078 | Warren Allen James | Student in an Organized Health Care Education/Training Program | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-19 |
| 1457962060 | Rosmary Ros-demarize | Psychologist | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-08-17 |
| 1558971390 | Auryelle Ascue | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-06 |
| 1396361994 | David Gonzalez | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8911 | 2020-06-19 |
| 1003432592 | Hannah Burrick | Audiologist | 171 Ashley Ave, Charleston, SC 29425-8903 | 2020-06-19 |
| 1528683562 | Kelsey Renee Full | Emergency Medicine | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-06-16 |
| 1861017949 | Christina Lee | Anesthesiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649823626 | Kylie Marie Hopkins | Nurse Practitioner | 165 Ashley Ave, Charleston, SC 29425-8905 | 2019-07-19 |
| 1174186472 | Amber Nicole Monroe | Nurse Practitioner | 165 Ashley Ave, Charleston, SC 29425-8905 | 2019-04-22 |
| 1316483621 | Laura Elsey Orr | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-2305 | 2017-01-10 |
| 1396001475 | Lindzie Durham Smarch | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-4220 | 2012-04-03 |
| 1245482827 | Katherine Lucas | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053878256 | Marcia Leola Brafford | Nurse Practitioner | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2019-02-23 |
| 1871001008 | Teara Dilks | Nurse Practitioner | 555 E Cheves St, Florence, SC 29506-2617 | 2018-01-23 |
| 1215447420 | Cathy Mcneill White | Nurse Practitioner | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2017-10-03 |
| 1033574231 | Jamie Bott | Nurse Practitioner | 701 Grove Rd, Greenville, SC 29605-4210 | 2015-12-15 |
| 1164836227 | Dawn Allen | Nurse Practitioner | 701 Grove Rd, Greenville, SC 29605-4210 | 2014-06-17 |
| 1518371764 | Charlene Wells | Nurse Practitioner | 701 Grove Rd, Greenville, SC 29605-4210 | 2014-06-16 |
| 1801200050 | Treasure L Snyder | Nurse Practitioner | 701 Grove Rd, Greenville, SC 29605-4210 | 2014-06-16 |
| 1700290913 | Kyle Hitchcock Weir | Nurse Practitioner | 701 Grove Rd, Greenville, SC 29605-4210 | 2014-06-16 |
| 1144634353 | Allison Marie Carman | Nurse Practitioner | 175 Patewood Dr, Greenville, SC 29615-3570 | 2014-06-16 |
| 1326288051 | Village Hospital | Nurse Practitioner | 250 Westmoreland Rd, Maternity Services Administration, 2nd Floor, Greer, SC 29651-9013 | 2009-02-20 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.