MRS. LINDA WILDS (NPI# 1154776722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154776722 |
| Entity Type | Individual |
| Full Name | MRS. LINDA WILDS |
| Credential | FNP |
| Practice Address |
145 Palmetto Pointe Rd Marion SC 29571-6721 |
| Practice Telephone | 8434232400 |
| Mailing Telephone | 8434232400 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20050 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP4125 | 05 |
| Street Address |
145 PALMETTO POINTE RD |
| City | MARION |
| State | SC |
| Zip Code | 29571-6721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346211927 | Karen Lynn Berrios | Dentist | 145 Palmetto Pointe Rd, Marion, SC 29571-6721 | 2006-01-31 |
| 1275150815 | Health Care Partners Pharmacy | Clinic/Center | 145 Palmetto Pointe Rd, Marion, SC 29571-6721 | 2020-06-30 |
| 1629205109 | Sibonokuhle Tizora | Pediatrics | 145 Palmetto Pointe Rd, Marion, SC 29571-6721 | 2009-06-11 |
| 1770668824 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 145 Palmetto Pointe Rd, Marion, SC 29571-3014 | 2006-10-26 |
| 1902848179 | Valerie Burke | Obstetrics & Gynecology | 145 Palmetto Pointe Rd, Marion, SC 29571-6721 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174662 | Tiffany Antionette Mcbride | Rehabilitation Counselor | 2320 Sc-41 Alt, Marion, SC 29571 | 2018-08-21 |
| 1538658521 | Schinitra Ti'onette Swinney | Nurse Practitioner | 1328 N. Main Street, Marion, SC 29571 | 2018-05-04 |
| 1740708536 | Alexis Drose | Specialist/Technologist | 1418 Derrick Court, Marion, SC 29571 | 2017-09-01 |
| 1215453451 | Joans Health Care LLC | Home Health | 2524 E Highway 76, Marion, SC 29571 | 2017-08-18 |
| 1407371909 | Davet Mcfadden | Counselor | 103 Court Street, Marion, SC 29571 | 2017-08-07 |
| 1568900686 | Jason Owen Hewett | Nurse Practitioner | 125 Jazz Court, Marion, SC 29571 | 2017-02-09 |
| 1225588155 | Extreme Home Health Services | Home Health | 1848 West Highway 76 Suite C, Marion, SC 29571 | 2016-10-04 |
| 1447608757 | Darren Sealey | Chiropractor | 2516 E Highway 76, Suite B, Marion, SC 29571 | 2016-05-26 |
| 1578931812 | Antonio Mcrae | Case Manager/Care Coordinator | 122 Manning St, Marion, SC 29571 | 2015-09-03 |
| 1538568233 | Rakeyta Benjamin | Psychologist | 515 E. Liberty Street, Marion, SC 29571 | 2014-08-19 |
| Find all providers in zip 29571 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391977 | Pamela Jane Clarida | Nurse Practitioner | 1001 E Illinois St, Marion, IL 62959-3711 | 2020-09-22 |
| 1194330845 | Jamie Jones Hayden | Nurse Practitioner | 134 Willow Springs Rd, Marion, VA 24354-6700 | 2020-09-10 |
| 1992331714 | Andrea Williams | Nurse Practitioner | 55 Mckenzie Cv, Marion, AR 72364-2661 | 2020-03-13 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1902466220 | Aimee Wiggins Martin | Nurse Practitioner | 1649 W Highway 76, Marion, SC 29571-6621 | 2019-06-18 |
| 1801358163 | William Wayne Thomas II | Nurse Practitioner | 2808 Outer Dr, Marion, IL 62959-5207 | 2019-04-04 |
| 1033670062 | Era Louise Mattingly | Nurse Practitioner | 11522 White Pine Ave, Marion, IL 62959-8379 | 2019-03-31 |
| 1598223414 | Jeanni A. Gerwin | Nurse Practitioner | 1125 Ellen Kay Dr Ste A, Marion, OH 43302-6358 | 2019-03-10 |
| 1619431780 | Lisa Dawn Powell | Nurse Practitioner | 2921 Hwy 77 S Ste 12-13, Marion, AR 72364-2367 | 2019-01-23 |
| 1285110551 | Marcie Ann Ellington | Nurse Practitioner | 518 W Gum St, Marion, KY 42064-1516 | 2018-07-19 |
| Find all providers in MARION | ||||
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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.