MS. KATHRYN ANNE VANRAVENSTEIN (NPI# 1194726414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194726414 |
| Entity Type | Individual |
| Full Name | MS. KATHRYN ANNE VANRAVENSTEIN |
| Credential | A.P.R.N. |
| Practice Address |
401 Witsell St Walterboro SC 29488-3052 |
| Mailing Address |
Po Box 751461 Charlotte NC 28275-1461 |
| Practice Telephone | 8435495546 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19358 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP3253 | 05 | |
| WI | 43948600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 171 Ashley Ave, Charleston, SC 294253913 | 8437921414 |
| Street Address |
401 WITSELL ST |
| City | WALTERBORO |
| State | SC |
| Zip Code | 29488-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255732798 | Mary Virginia Girardeau Lucas | Nurse Practitioner | 401 Witsell St, Walterboro, SC 29488-3052 | 2014-09-15 |
| 1558633826 | Gregory Mark Loftis | Occupational Therapist | 401 Witsell St, Walterboro, SC 29488-3052 | 2012-02-02 |
| 1700193117 | United Rehab Inc. | Clinic/Center | 401 Witsell St, Walterboro, SC 29488-3052 | 2010-09-07 |
| 1386691806 | Pruitthealth - Walterboro, LLC | Skilled Nursing Facility | 401 Witsell St, Walterboro, SC 29488-3052 | 2006-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996880 | Tamela Johnson | Counselor | 1439 Thunderbolt Drive Walterboro, Sc 29488, 1439 Thunderbolt Drive Walterboro, Sc 29488, Walterboro, SC 29488 | 2020-09-15 |
| 1558727941 | Amber Henderson | Counselor | 2004 Jefferies Hwyv, Walterbori, SC 29488 | 2016-01-14 |
| 1710130471 | George's Clearvision | Optometrist | 1009 Bells Hwy, Walterboro, SC 29488 | 2008-10-28 |
| 1992965503 | Colleton Chiropractic, LLC | Chiropractor | 211 Eddie Chasteen Drive, Walterboro, SC 29488 | 2008-06-17 |
| 1083885867 | Lowcountry Imaging Associates, LLC | Clinic/Center | 211 Meadow Street, Walterboro, SC 29488 | 2008-03-19 |
| 1215106794 | Lowcountry Center for Diabetes & Endocrinology Pa | Specialist | 16 Northside Dr., Walterboro, SC 29488 | 2008-02-28 |
| 1649399445 | Dan Russell Yarbrough | Dentist | 100a Commerce Drive, Walterboro, SC 29488 | 2007-03-29 |
| 1902931355 | Colleton County School District | Speech-Language Pathologist | 611 Colletonloop, Walterboro, SC 29488 | 2007-02-23 |
| 1477616555 | Samuel Michael Hazel | Dentist | 415a Robertson Blvd, One Professional Plaza, Walterboro, SC 29488 | 2006-12-19 |
| 1245243823 | Landrum Rescue Squad | Ambulance | 203 B Eddie Chasteen Blvd, Walterborough, SC 29488 | 2006-08-14 |
| Find all providers in zip 29488 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801458765 | Courtney Danielle Bunton Alberts | Nurse Practitioner | 302 Medical Park Dr Ste 210, Walterboro, SC 29488-5749 | 2019-07-01 |
| 1013471101 | Alyssa W Ursini | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2019-01-23 |
| 1639110299 | Christina Bashnan Martin | Nurse Practitioner | 302 Medical Park Dr Ste 211, Walterboro, SC 29488-5749 | 2006-06-08 |
| 1154369353 | William Furman Melton Jr. | Nurse Practitioner | 217 Lemacks St, Walterboro, SC 29488 | 2006-06-02 |
| 1104425990 | Kelly Ann Flynn | Nurse Practitioner | 447 Spruce St, Walterboro, SC 29488-2766 | 2020-10-22 |
| 1609405224 | Danya Kay Gioiello | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2020-04-06 |
| 1538794565 | Tammy Yarnell Warren | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2020-03-10 |
| 1467011213 | Robert Shelton Sizemore IIi | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2019-06-06 |
| 1285107110 | Autumn Lee Hillegas | Nurse Practitioner | 873 Robertson Blvd, Walterboro, SC 29488-3082 | 2019-01-03 |
| 1356860787 | Jennifer A. Berry | Nurse Practitioner | 873 Robertson Blvd, Walterboro, SC 29488-3082 | 2017-09-18 |
| Find all providers in WALTERBORO | ||||
| City | WALTERBORO |
| Zip Code | 29488 |
Please comment or provide details below to improve the information on MS. KATHRYN ANNE VANRAVENSTEIN.
| 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.