LATREECE JETT (NPI# 1174949952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174949952 |
| Entity Type | Individual |
| Full Name | LATREECE JETT |
| Credential | RN, BSN |
| Practice Address |
206 Airport Ct Suite B Mullins SC 29574-6196 |
| Practice Telephone | 8434238295 |
| Mailing Telephone | 8434238295 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
216368 | SC | Nursing Service Providers |
| Street Address |
206 AIRPORT CT SUITE B |
| City | MULLINS |
| State | SC |
| Zip Code | 29574-6196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902975733 | State of South Carolina | Public Health or Welfare | 206 Airport Ct, Suite B, Mullins, SC 29574-6196 | 2006-11-07 |
| 1659798452 | Carol L Hodges | Registered Nurse | 206 Airport Ct, Suite B, Mullins, SC 29574-6196 | 2014-03-19 |
| 1174949960 | Crystal Berry | Registered Nurse | 206 Airport Ct, Suite B, Mullins, SC 29574-6196 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412921 | Maria Roman | Physical Therapist | 2829 East, Us-76, Mullins, SC 29574 | 2020-03-19 |
| 1679959431 | Healthy Childsmiles, LLC | Clinic/Center | 4504 East Highway 76, Mullins, SC 29574 | 2015-08-04 |
| 1629327549 | Shirley Howell Rogers | Pharmacist | 4005 Cleve Mayers Ct, Mullins, SC 29574 | 2012-09-06 |
| 1588834147 | Monique Hemingway-bell | Speech-Language Pathologist | 2622 Troy Atkinson Road, Mullins, SC 29574 | 2008-03-10 |
| 1932226156 | Patient Response Organization Inc | Ambulance | 142 South Main St, Mullins, SC 29574 | 2007-03-23 |
| 1164573200 | Marion School District Seven | Local Education Agency (LEA) | 3559 South Highway 501, Mullins, SC 29574 | 2007-01-16 |
| 1932270279 | Franklin Gasque Mason | Dentist | 410 South Main St, Mullins, SC 29574 | 2006-11-10 |
| 1033138904 | Iris M Floyd-norris | Family Medicine | 2835 East Highway 76, Ste 7, Mullins, SC 29574 | 2006-07-19 |
| 1790721207 | Home Therapy Inc | Durable Medical Equipment & Medical Supplies | 3391 Hwy. 76 E., Mullins, SC 29574 | 2006-06-22 |
| 1205876273 | John C Bilder | Dentist | 410 South Main Street, Mullins, SC 29574 | 2006-06-07 |
| Find all providers in zip 29574 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992122725 | Dara Johnson | Registered Nurse | 206 Airport Ct Ste B, Mullins, SC 29574-6196 | 2014-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935153 | Quinterria Tenicia Wilson | Registered Nurse | 1110 Malone Ferguson Rd, Garnett, SC 29922-5806 | 2020-09-07 |
| 1740806777 | Lynn Turner Mounir | Registered Nurse | 3504 Woodcone Trl, Anderson, SC 29624-4813 | 2020-06-25 |
| 1598381964 | Takasha Blassingame | Registered Nurse | 118 Camden Dr, Piedmont, SC 29673-9227 | 2020-06-22 |
| 1851915292 | Joey Marie Tan | Registered Nurse | 307 Fairview Lake Way, Simpsonville, SC 29680-7151 | 2020-06-02 |
| 1285256842 | Kala Marissa Elamparo | Registered Nurse | 112 Mitford Way, Fountain Inn, SC 29644-2228 | 2020-05-17 |
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1861014698 | Brenda Angelique Baldwin | Registered Nurse | 158 Beverly Cir, Liberty, SC 29657-8933 | 2020-05-14 |
| 1598387656 | Denise Louise Gasper | Registered Nurse | 107b Lee Ln, Florence, SC 29501-6434 | 2020-05-12 |
| 1679195929 | Lena Marie Jones | Registered Nurse | 400 Delphi Dr, Seneca, SC 29672-6725 | 2020-05-09 |
| 1487275913 | Tashara Anderson | Registered Nurse | 107 Old Oak Dr, Greenwood, SC 29649-1331 | 2020-05-06 |
| 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.