KELLY BEAUCHAMP (NPI# 1073944385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073944385 |
| Entity Type | Individual |
| Full Name | KELLY BEAUCHAMP |
| Practice Address |
1000 Brookhaven Drive Aiken SC 29803-2109 |
| Mailing Address |
1000 Brookhaven Drive Aiken SC 29803 |
| Practice Telephone | 8036412621 |
| Mailing Telephone | 8036412621 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
196810 | SC | Behavioral Health & Social Service Providers |
| Street Address |
1000 BROOKHAVEN DRIVE |
| City | AIKEN |
| State | SC |
| Zip Code | 29803-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518339977 | Carson Holstein | Speech-Language Pathologist | 1000 Brookhaven Drive, Aiken, SC 29803 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
| 1356804546 | Ebony Johnson | Home Health Aide | 942 C Dougherty Rd, Aiken, SC 29803 | 2019-04-13 |
| 1689144230 | Tabatha Lee Maddox | Occupational Therapist | 550 East Gate Dr, Aiken, SC 29803 | 2018-11-27 |
| 1962995100 | Pvd Internal Medicine Associates LLC | Internal Medicine | 440 Society Hill Dr Ste B, Aiken, SC 29803 | 2018-06-12 |
| 1689197691 | Trent David Yoder | Dentist | 174 Crepe Myrtle Drive, Aiken, SC 29803 | 2017-07-21 |
| 1770039331 | Lauren Reigot | Physical Therapist | 6140 Woodside Executive Ct., Aiken, SC 29803 | 2016-09-01 |
| 1851747190 | Umg Primary Care South Carolina, LLC | Family Medicine | 1023 Silver Bluff Road, Aiken, SC 29803 | 2016-05-05 |
| 1912375759 | Lisa G Browning | Nurse Practitioner | 550 E. Gate Drive, Aiken, SC 29803 | 2015-09-10 |
| 1346682754 | Tyresia Jovon White | Dentist | 440 Society Hill Dr Ste 201, Aiken, SC 29803 | 2013-07-25 |
| 1528327483 | Caresouth Hospice, LLC | Hospice Care, Community Based | 37 Varden Drive, Suite B, Aiken, SC 29803 | 2012-05-14 |
| Find all providers in zip 29803 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275955007 | Patricia Silva | Psychologist | 1726 Carolina Dr Sw, Aiken, SC 29801-3302 | 2014-01-14 |
| 1376593798 | Aiken County Public Schools | Psychologist | 1000 Brookhaven Dr, Aiken, SC 29803 | 2006-05-10 |
| 1215331756 | Ameet Bosmia | Psychologist | 1000 Brookhaven Dr, Aiken, SC 29803-2109 | 2014-10-13 |
| 1326441379 | Jennifer Warden | Psychologist | 1000 Brookhaven Dr, Aiken, SC 29803-2109 | 2014-10-06 |
| 1871995274 | Jessica Spencer | Psychologist | 1000 Brookhaven Dr, Aiken, SC 29803-2109 | 2014-09-17 |
| 1285035162 | Suzanne Gardiner | Psychologist | 1000 Brookhaven Dr, Aiken, SC 29803-2109 | 2014-09-10 |
| 1548661689 | Christina Meeks | Psychologist | 22 Double Springs Rd, Aiken, Aiken, SC 29803-8174 | 2014-09-09 |
| 1275932089 | Ashley Bouknight Wingard | Psychologist | 1000 Brookhaven Dr, Aiken, SC 29803-2109 | 2014-08-18 |
| 1487053286 | Jennifer Harrison | Psychologist | 1000 Brookhaven Dr, Aiken, SC 29803-2109 | 2014-08-18 |
| 1548685720 | Melissa Puryear | Psychologist | 1000 Brookhaven Dr, Aiken, SC 29803-2109 | 2014-02-25 |
| Find all providers in AIKEN | ||||
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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.