MRS. DELOIS DANIELS (NPI# 1104979061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104979061 |
Entity Type | Individual |
Full Name | MRS. DELOIS DANIELS |
Credential | APRN |
Practice Address |
333 Revolutionary Trl Fairfax SC 29827-7109 |
Practice Telephone | 8036322533 |
Practice Fax Number | 8036323285 |
Mailing Telephone | 8036322533 |
Mailing Fax Number | 8036323285 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2012-02-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
830 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
333 REVOLUTIONARY TRL |
City | FAIRFAX |
State | SC |
Zip Code | 29827-7109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033160254 | Baxter Mclendon | Specialist | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-05-12 |
1851656243 | Wanda W Tutt | Dietitian, Registered | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2012-07-11 |
1649414905 | Walter R Kirby | Physician Assistant | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2009-04-29 |
1164516209 | Bobbie Franklin Ayers Jr. | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-10-03 |
1538170121 | Lucille Miley Sanders | Nurse Practitioner | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-08-10 |
1003820531 | Richard Boyles | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-07-28 |
1407878366 | Janet M Mckissick | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467843078 | We Care Family Resource LLC | Point of Service | 513 Bayshore Dr., Fairfax, SC 29827 | 2015-02-18 |
1154606440 | Robert M. Haberkorn Dds | Clinic/Center | 1987 Allendale Fairfax Hwy., Fairfax, SC 29827 | 2011-10-18 |
1144370503 | Allendale County Hospital Board | Clinic/Center | 1787 Allendale Fairfax Highway, Fairfax, SC 29827 | 2007-01-10 |
1336246677 | Allendale County Hospital Board | Skilled Nursing Facility | 185 Revolutionary Trail, Fairfax, SC 29827 | 2006-09-20 |
1881646669 | Shenika L. Marshall-hill | Counselor | 1594 Beaufort Ave. S., Fairfax, SC 29827 | 2006-05-17 |
1588623540 | Rebecca Lynn Wilkes | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2006-03-20 |
1497745012 | Robert M Haberkorn | Dentist | 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 | 2005-10-25 |
1588815021 | James Robert Mynatt | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2008-10-02 |
1063607646 | Mol Ky | General Practice | 333 Revolutionary Trail, Fairfax, SC 29827 | 2007-09-07 |
1053475566 | Low Country Health Care System, Inc | Pharmacy | 333 Revolutionary Trail, Farifax, SC 29827 | 2006-12-20 |
Find all providers in zip 29827 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588623540 | Rebecca Lynn Wilkes | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2006-03-20 |
1295394526 | Elise Mcmanaman | Nurse Practitioner | 8081 Innovation Park Dr Ste 775, Fairfax, VA 22031-4867 | 2019-06-11 |
1487194262 | Molly Boyer Broache | Nurse Practitioner | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 | 2017-02-28 |
1043767874 | Kelly Gallo | Nurse Practitioner | 10680 Main St, Suite 190, Fairfax, VA 22030-3810 | 2016-09-09 |
1164812723 | Jessica Padilla | Nurse Practitioner | 3025 Hamaker Ct, Suite #360, Fairfax, VA 22031-2237 | 2015-02-03 |
1629366992 | Leah Catherine Elk | Nurse Practitioner | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033 | 2011-07-20 |
1053580597 | Carola (none) Bruflat | Nurse Practitioner | 8501 Arlington Blvd Ste 300, Fairfax, VA 22031-4625 | 2008-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659919710 | Christy Marie South | Nurse Practitioner | 81 Pointe Cir Ste D, Greenville, SC 29615-3505 | 2019-12-19 |
1598217457 | Amanda Jean Ruby | Nurse Practitioner | 3864 Renee Dr, Myrtle Beach, SC 29579-4108 | 2016-10-26 |
1174920847 | Tyra L Taylor | Nurse Practitioner | 2 Maple Tree Ct, Bon Secours Ob-gyn, Greenville, SC 29615-4068 | 2014-11-24 |
1407199060 | Victoria Lynn Brassfield | Nurse Practitioner | 1220 Hospital Dr Ste A, Mount Pleasant, SC 29464-3678 | 2013-04-02 |
1578825444 | Miriam Faith Criswell | Nurse Practitioner | 727 Se Main St Ste 120, Simpsonville, SC 29681 | 2012-06-15 |
1669747341 | Michaela Buchanan French | Nurse Practitioner | 11 Park Creek Drive, Greenville, SC 29605 | 2012-03-14 |
1770865511 | Amanda C Naramore | Nurse Practitioner | 343 Old South Way, Mt Pleasant, SC 29464-7854 | 2011-09-19 |
1487961876 | Isis Lucia Hart | Nurse Practitioner | 25 Hospital Center Blvd Ste 305, Hilton Head Island, SC 29926-2739 | 2010-09-07 |
1952432882 | Billie S Buchanan | Nurse Practitioner | 202 Victoria St, Greer, SC 29651-3436 | 2007-03-09 |
1578602546 | Beverly I Huegel | Nurse Practitioner | 4311 Hard Scrabble Rd, Columbia, SC 29229-9422 | 2007-02-06 |
Find all providers with the same taxonomy |
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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.