MS. TANDI GILMORE (NPI# 1205494580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205494580 |
| Entity Type | Individual |
| Full Name | MS. TANDI GILMORE |
| Credential | NP |
| Practice Address |
41 Park Creek Dr Greenville SC 29605-4270 |
| Mailing Address |
412 Middleshare Dr Mauldin SC 29662-3312 |
| Practice Telephone | 8642991600 |
| Practice Fax Number | 8644222964 |
| Mailing Telephone | 8645679086 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
22821 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 102 Buford Ave Ste A, Anderson, SC 296213365 | 8642619506 | 8642264201 |
| Street Address |
41 PARK CREEK DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548243264 | April Keen | Nutritionist | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2005-11-28 |
| 1508464991 | Ashley Popham | Physical Therapist | 41 Park Creek Dr, Greenville, SC 29605-2960 | 2020-10-16 |
| 1285241745 | Nathan Andrew Hogue | Social Worker | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2020-09-29 |
| 1598370769 | Anna Blythe Bottino | Nurse Practitioner | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2020-09-14 |
| 1578101242 | Jamie Nagle | Dental Hygienist | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2019-12-12 |
| 1265086953 | Kirstie Brooke Jackson | Licensed Practical Nurse | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2019-07-31 |
| 1275192874 | Maggie Estelle Asman | Student in an Organized Health Care Education/Training Program | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2019-06-07 |
| 1194288670 | Haminah Laverne Johnson | Social Worker | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2019-04-10 |
| 1578057600 | Elora Ommen | Optometrist | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2018-06-21 |
| 1639683402 | Shannon M. Graham | Social Worker | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2017-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172502 | Luron M Fleming | Nurse Practitioner | 712 Arlington Ave, Greenville, SC 29601-3206 | 2020-04-08 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1043869118 | Anchored Wellness LLC | Nurse Practitioner | 128 Millport Cir Ste 200, Greenville, SC 29607-5573 | 2019-09-10 |
| 1861052979 | Susan Lally | Nurse Practitioner | 707 Wh Smith Blvd, Greenville, NC 27834-3752 | 2019-06-20 |
| 1891358867 | Christina L. Green, Pmhnp-bc, Pllc | Nurse Practitioner | 3101 Joe Ramsey Blvd E Ste 104, Greenville, TX 75401-7762 | 2019-04-16 |
| 1245791722 | William M Hendricks IIi | Nurse Practitioner | 565 Waterbrook Dr, Greenville, SC 29607-4878 | 2019-03-27 |
| 1538615265 | Stephanie Webb | Nurse Practitioner | 925 Conference Dr., Greenville, NC 27858 | 2016-09-01 |
| 1619321163 | Christina Leann Green | Nurse Practitioner | 4702 Wesley St Ste C, Greenville, TX 75401-5663 | 2016-04-21 |
| 1285966036 | Lavena S Wilkes | Nurse Practitioner | 222 Adley Way, Greenville, SC 29607 | 2010-02-04 |
| 1205917168 | Karen Diane Tipton | Nurse Practitioner | 97 Market Point Dr, #406, Greenville, SC 29607-4135 | 2006-10-18 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on MS. TANDI GILMORE.
| 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.