MRS. KRISTIN GRAHAM DUBOSE (NPI# 1154853794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154853794 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN GRAHAM DUBOSE |
| Credential | FNP |
| Practice Address |
805 Pamplico Hwy Florence SC 29505-6047 |
| Practice Telephone | 8436745100 |
| Practice Fax Number | 8436745199 |
| Mailing Telephone | 8436745100 |
| Mailing Fax Number | 8436745199 |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2017-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20910 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
805 PAMPLICO HWY |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083610976 | Steven M Halus | Emergency Medicine | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2005-06-24 |
| 1992303069 | Martin Francis Powers Jr. | Nurse Anesthetist, Certified Registered | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2020-10-12 |
| 1073134888 | Chapin Elizabeth Ensminger | Nurse Practitioner | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2020-05-04 |
| 1699317743 | Rebecca Widel | Nurse Practitioner | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2019-10-10 |
| 1346881034 | Latosha Epps | Registered Nurse | 805 Pamplico Hwy, Florence, SC 29505 | 2019-10-03 |
| 1184197683 | Medical University Hospital Authority | General Acute Care Hospital | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2019-01-07 |
| 1558880658 | Joseph Fraser | Physical Therapist | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2017-09-11 |
| 1255857280 | Qhg of South Carolina Inc | Clinical Medical Laboratory | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2017-08-22 |
| 1083148654 | Maria Eleonor Magno Rivera | Internal Medicine | 805 Pamplico Hwy, Florence, SC 29505-6047 | 2017-04-20 |
| 1649721127 | Tricia Robinson | Nurse Practitioner | 805 Pamplico Hwy, Medical Mall A, Suite 315, Florence, SC 29505-6047 | 2016-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322703 | Stephenie Matthews Gordon | Nurse Practitioner | 3037 Waterford Dr, Florence, SC 29501-6383 | 2020-09-26 |
| 1073130829 | Lindsay Humphreys | Nurse Practitioner | 309 Ashwoody Dr, Florence, AL 35633-1700 | 2020-06-28 |
| 1710504568 | Deborah Valentine | Nurse Practitioner | 9331 Highway 157, Florence, AL 35633-4635 | 2020-06-28 |
| 1235755984 | Chasidy Lynn Ward | Nurse Practitioner | 406 Woodland Dr, Florence, SC 29501-5445 | 2020-06-18 |
| 1174146054 | Heather Helmbrecht-vines | Nurse Practitioner | 1631 Corinthian Dr Apt 2023, Florence, KY 41042-7424 | 2020-05-26 |
| 1245850148 | Duran Healthcare Pllc | Nurse Practitioner | 9910 Berberich Dr Unit E, Florence, KY 41042-3220 | 2020-04-21 |
| 1548897788 | Pansi Anil Patel | Nurse Practitioner | 511 Prestwick Dr, Florence, SC 29501-8738 | 2020-03-26 |
| 1245861228 | Chasity Beene | Nurse Practitioner | 2929 Cloverdale Rd Unit D, Florence, AL 35633-1505 | 2020-01-29 |
| 1023649191 | Loreena Ruth Fraboni | Nurse Practitioner | 5880 Co-67, Florence, CO 81226 | 2020-01-28 |
| 1093355430 | Stephen Panosian | Nurse Practitioner | 2612 N Palo Verde Dr, Florence, AZ 85132-6880 | 2020-01-14 |
| Find all providers in FLORENCE | ||||
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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.