MRS. MELODY YOUNG DEANGELIS (NPI# 1205387883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205387883 |
| Entity Type | Individual |
| Full Name | MRS. MELODY YOUNG DEANGELIS |
| Credential | NP |
| Practice Address |
115 Brushy Creek Rd Easley SC 29642-1120 |
| Practice Telephone | 8646350376 |
| Practice Fax Number | 8644426848 |
| Mailing Telephone | 8646350376 |
| Mailing Fax Number | 8644426848 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2020-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20519 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP4354 | 05 |
| Street Address |
115 BRUSHY CREEK RD |
| City | EASLEY |
| State | SC |
| Zip Code | 29642-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793780 | Mark James Wasylenko | Specialist | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2005-10-06 |
| 1700404019 | Katherine Joy Hendricks | Nurse Practitioner | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2020-07-13 |
| 1467091306 | Carolina Spine and Pain Centers, LLC | Clinic/Center | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2019-12-23 |
| 1821637760 | Csp Enterprises LLC | Anesthesiology | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2019-12-23 |
| 1588047732 | Joseph A Pilgrim | Physical Therapist | 115 Brushy Creek Rd, Suite A, Easley, SC 29642-1120 | 2015-07-07 |
| 1538573431 | Jessica Gravely Bell | Nurse Practitioner | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2014-06-18 |
| 1215348644 | Exigo Pharmaceuticals, LLC | Pharmacy | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2014-05-20 |
| 1811318512 | Oaktree Medical Centre | Physical Medicine & Rehabilitation | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2013-12-23 |
| 1386925758 | Jonathan David Haas | Physical Therapist | 115 Brushy Creek Rd, Advanced Physical Therapy, Easley, SC 29642-1120 | 2011-08-30 |
| 1487984951 | Advanced Physical Therapy,llc | Clinic/Center | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2010-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316911 | Marlesia Hall | Licensed Practical Nurse | 106 Teal Dr, Easley, SC 29642 | 2020-11-06 |
| 1437648904 | Onsite Healthcare and Wellness LLC | Nurse Practitioner | 217 Sheffield Ct, Easley, SC 29642 | 2018-05-09 |
| 1477073476 | Aubre True | Specialist/Technologist | 124 Century Oaks Dr, Easley, SC 29642 | 2017-06-21 |
| 1912439944 | First Physical Therapy, LLC | Clinic/Center | 3613 Sc 153, Suite 200, Powdersville, SC 29642 | 2017-03-29 |
| 1801146485 | Sara Michele Calvert | Pharmacist | 1063 South Pendleton Street, Easley, SC 29642 | 2012-09-11 |
| 1023365251 | Heather Lilley | Pharmacist | 5251 Calhoun Memorial Hwy, Easley, SC 29642 | 2012-08-07 |
| 1942590088 | Mallorie Bryan Costner | Speech-Language Pathologist | 507 Huntington Road, Easley, SC 29642 | 2011-04-11 |
| 1225352339 | Jon Lawrence Rhoden | Pharmacist | 320 Watson Road, Easley, SC 29642 | 2010-03-18 |
| 1386865350 | Gordon David Dannelly | Dentist | 701 Brushy Creek Road, Easley, SC 29642 | 2007-05-01 |
| 1538280755 | Michelle Leigh Tucker | Obstetrics & Gynecology | 1351 Crestview Road, Easley, SC 29642 | 2007-04-03 |
| Find all providers in zip 29642 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1982229670 | Cheryl Renea Lee | Nurse Practitioner | 105 Georgetown Way, Easley, SC 29640-8304 | 2020-06-09 |
| 1851765325 | Holland Barfield | Nurse Practitioner | 1209 Old Mill Rd, Easley, SC 29642-9502 | 2015-11-21 |
| 1326434283 | Christina Garrett | Nurse Practitioner | 24 Duxbury Ln, Easley, SC 29642-7011 | 2015-04-07 |
| 1396028288 | Blair Sanders Mcalister | Nurse Practitioner | 112 John St Ste 202, Easley, SC 29640-1406 | 2011-09-27 |
| 1194053595 | Kezia Nixon | Nurse Practitioner | Po Box 484, Easley, SC 29641-0484 | 2009-11-23 |
| 1457440661 | Angela Boggs Bell | Nurse Practitioner | 201 Richard Str, Easley, SC 29640 | 2006-10-12 |
| 1548276702 | Donna D. Garrett | Nurse Practitioner | 5269 Calhoun Memorial Hwy, Easley, SC 29640-3865 | 2006-07-31 |
| 1588615561 | Nancy Trifilo | Nurse Practitioner | 832 Powdersville Rd, Easley, SC 29642-3706 | 2006-05-13 |
| 1033114798 | Jennifer Sirmon Fox | Nurse Practitioner | 109 Fleetwood Dr, Suite A, Easley, SC 29640-2019 | 2005-06-17 |
| Find all providers in EASLEY | ||||
Please comment or provide details below to improve the information on MRS. MELODY YOUNG DEANGELIS.
| 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.