ESSENTIAL HEALTH & WELLNESS (NPI# 1184238685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184238685 |
Entity Type | Organization |
Organization Name | ESSENTIAL HEALTH & WELLNESS |
Practice Address |
616 Edgefield Rd Unit 170 North Augusta SC 29841 |
Mailing Address |
111 E Marion Ave # 184 North Augusta SC 29841-2935 |
Practice Telephone | 2252848197 |
Mailing Telephone | 2252848197 |
Enumeration Date | 2020-09-02 |
Last Update Date | 2020-09-02 |
Authorized Official Name | ANGELA E DYKES (OWNER/ CEO) |
Authorized Official Telephone | 2252848197 |
Authorized Official Credential | DNP, FNP-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Essential Health & Wellness | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467990234 | Essential Health & Wellness | Clinic/Center | 3750 Nw Cary Pkwy, Suite 111, Cary, NC 27513-8432 | 2017-02-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Essential Health & Wellness, LLC | 7166 Turweston Lane, Castle Pines, CO 80108 |
Street Address |
616 EDGEFIELD RD UNIT 170 |
City | NORTH AUGUSTA |
State | SC |
Zip Code | 29841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316476898 | Tanya Marletta Thompson | Counselor | 125 Thompson Ave, North Augusta, SC 29841 | 2017-06-08 |
1427587708 | Lashonda Devona Johnson | Nurse's Aide | 310 Edgefield Road, North Augusta, SC 29841 | 2017-06-08 |
1760916092 | Michael Cory Hall | Dentist | 503 W Martintown Road, North Augusta, SC 29841 | 2017-04-13 |
1730626508 | Michael Anthony Posada | Nurse Practitioner | 325 Georgia Ave, North Augusta, SC 29841 | 2017-01-31 |
1023497054 | High Praise Hair Boutique | Specialist | 139 Edgewood Drive, North Augusta, SC 29841 | 2015-05-22 |
1861897159 | Veterans Transportation | Ambulance | 121 E. Marion Ave., North Augusta, SC 29841 | 2014-10-29 |
1700216173 | Brooke Elizabeth Farmer | Licensed Practical Nurse | 2218 Vireo Drive, North Augusta, SC 29841 | 2013-11-20 |
1912344953 | Pamelia C Hiott | Registered Nurse | 2000 Knobcone Avenue, North Augusta, SC 29841 | 2013-05-31 |
1275798936 | Doctors Hospital North Augusta Imaging Center LLC | Clinic/Center | 105 Hugh Street, Suite A, North Augusta, SC 29841 | 2008-07-22 |
1427164714 | Georgialina Physical Therapy Associates LLC | Physical Therapist | 440 W Martintown Rd Ste 101, North Augusta, SC 29841 | 2006-08-21 |
Find all providers in zip 29841 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093326159 | Charlaine Conger | Nurse Practitioner | 105 Lake Murray Dr, North Augusta, SC 29841-8639 | 2020-08-12 |
1205452471 | Tiffany Padgett | Nurse Practitioner | 130 Allen Ct, North Augusta, SC 29860-9782 | 2020-06-23 |
1104311141 | Amanda Byers | Nurse Practitioner | 220 Edgefield Rd, North Augusta, SC 29841-1941 | 2018-06-22 |
1730626508 | Michael Anthony Posada | Nurse Practitioner | 325 Georgia Ave, North Augusta, SC 29841 | 2017-01-31 |
1336779362 | Amanda Carelock | Nurse Practitioner | 220 Edgefield Rd, North Augusta, SC 29841-1941 | 2020-01-17 |
1023677192 | Linsey Caines | Nurse Practitioner | 220 Edgefield Rd, North Augusta, SC 29841-1941 | 2019-06-11 |
1174030035 | Liza Denny | Nurse Practitioner | 350 Austin Graybill Rd, North Augusta, SC 29860-9251 | 2018-01-02 |
1083150072 | Nataly Agabin | Nurse Practitioner | 350 Austin Graybill Rd, North Augusta, SC 29860-9251 | 2017-01-13 |
1811341324 | William Joseph Mccaffrey Iv | Nurse Practitioner | 1520 Knox Ave, North Augusta, SC 29841-4010 | 2016-04-20 |
1184093320 | Melinda Crouch Forrest | Nurse Practitioner | 401 W Martintown Rd, Suite 140, North Augusta, SC 29841-3186 | 2015-09-17 |
Find all providers in NORTH AUGUSTA |
City | NORTH AUGUSTA |
Zip Code | 29841 |
Please comment or provide details below to improve the information on ESSENTIAL HEALTH & WELLNESS.
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.