MRS. ELIZABETH MARY HERNICK (NPI# 1144455601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144455601 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH MARY HERNICK |
| Credential | GNP |
| Practice Address |
805 W Wade Hampton Blvd Ste C Greer SC 29650-1311 |
| Mailing Address |
1624 Main Street Agape Senior Primary Care, Inc., Dba Ltc Health Solutio Columbia SC 29201 |
| Practice Telephone | 8646556615 |
| Practice Fax Number | 8556174423 |
| Mailing Telephone | 8034540365 |
| Mailing Fax Number | 8034046000 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
R106798-7 | MN | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
19157 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP3148 | 05 |
| Street Address |
805 W WADE HAMPTON BLVD STE C |
| City | GREER |
| State | SC |
| Zip Code | 29650-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952373060 | Daniel Meetze | Internal Medicine | 805 W Wade Hampton Blvd Ste C, Greer, SC 29650-1311 | 2006-02-02 |
| 1275657694 | Erica Lache' Savage-jeter | Family Medicine | 805 W Wade Hampton Blvd Ste C, Greer, SC 29650-1311 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043152 | Lorenzo Ford | Nurse Practitioner | 20 Pioneer Ct, Sumter, SC 29150-9559 | 2020-08-13 |
| 1407484041 | Vistina Metts Johnson | Nurse Practitioner | 121 Executive Center Dr Ste 131, Columbia, SC 29210-8492 | 2020-03-30 |
| 1154969012 | William R. Andrews | Nurse Practitioner | 1516 Old Trolley Rd Ste 101, Summerville, SC 29485-8345 | 2019-12-11 |
| 1265078570 | Paula Nicole Allen | Nurse Practitioner | 133 Beaver Dam Rd, Columbia, SC 29223-3101 | 2019-11-21 |
| 1306497557 | Dina Martin | Nurse Practitioner | 171 Monroe Ln, Lexington, SC 29072-3904 | 2019-09-27 |
| 1053801720 | Kristin Marie Scarborough | Nurse Practitioner | 1470 Tobias Gadson Blvd Ste 203, Charleston, SC 29407-4925 | 2018-05-17 |
| 1922511054 | Anne Louise Grogan-hanford | Nurse Practitioner | 1317 Quail Vly W, Columbia, SC 29212-1554 | 2017-11-11 |
| 1972941821 | Jeanne Cameron Gonzalez | Nurse Practitioner | 504 Huntington Rd, Greenville, SC 29615-4212 | 2013-06-12 |
| 1861676942 | Mary Ellen Sullivan | Nurse Practitioner | 304 E Market St, Agape Physicians Care, Bennettsville, SC 29512-3137 | 2007-12-25 |
| 1508839739 | Vanessa Thompson | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2006-02-08 |
| 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.