A MICHELLE WISE (NPI# 1164663449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164663449 |
Entity Type | Individual |
Full Name | A MICHELLE WISE |
Other Name | A. MICHELLE WISE-EASTERGARD |
Credential | FNP |
Practice Address |
739 Galleria Blvd Ste 112 Rock Hill SC 29730-5785 |
Mailing Address |
224 Avery Jones Ln Apt 202 Rock Hill SC 29730-0155 |
Practice Telephone | 8035474343 |
Mailing Telephone | 8645017603 |
Enumeration Date | 2009-03-16 |
Last Update Date | 2018-11-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2787 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | MEDICARE PIN | SCC1783365 | 01 |
Street Address |
739 GALLERIA BLVD STE 112 |
City | ROCK HILL |
State | SC |
Zip Code | 29730-5785 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
Find all providers in zip 29730 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588121305 | Jennifer Ervine King | Nurse Practitioner | 1920 Ebenezer Rd, Rock Hill, SC 29732-1014 | 2019-02-28 |
1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
1801265194 | Intuitive Home Health Services LLC | Nurse Practitioner | 2808 Briar Cir, Rock Hill, SC 29732-9454 | 2015-09-17 |
1912340407 | Lori Darlene Mitchell | Nurse Practitioner | 410 E Black St, Rock Hill, SC 29730-5342 | 2013-04-15 |
1184998742 | Brandy Leigh Farmer | Nurse Practitioner | 410 S Herlong Ave Ste 106, Rock Hill, SC 29732-8350 | 2012-02-29 |
1295806701 | Jill Eileen Simpson | Nurse Practitioner | Winthrop University Health, 708 Oakland Ave. Crawford Bldg., Rock Hill, SC 29733-0001 | 2006-11-13 |
1114953106 | Staci D Burrell | Nurse Practitioner | 101 Sedgewood Dr, Rock Hill, SC 29732-2315 | 2006-06-23 |
1558355479 | Diane L Harrell | Nurse Practitioner | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2005-09-07 |
1033103395 | Mary Jo Barreto | Nurse Practitioner | Winthrop University Health Services, Rock Hill, SC 29733-0001 | 2005-09-01 |
1871109405 | Elaine Marie Toffoli | Nurse Practitioner | 170 Amendment Ave, Rock Hill, SC 29732-3073 | 2020-09-18 |
Find all providers in ROCK HILL |
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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.