AMANDA LYNN WILBURN (NPI# 1225659394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225659394 |
| Entity Type | Individual |
| Full Name | AMANDA LYNN WILBURN |
| Practice Address |
5504 Plantersville Pl Myrtle Beach SC 29579-3671 |
| Practice Telephone | 8437960830 |
| Mailing Telephone | 8437960830 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R168395 | MD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568943843 | Amanda Lauren Wilburn | Occupational Therapy Assistant | 123 Lowell St, San Antonio, TX 78210-2830 | 2018-08-24 |
| 1326452657 | Amanda Wilburn | Registered Nurse | 845 43rd St, Brooklyn, NY 11232-4166 | 2014-06-14 |
| 1043454069 | Amanda J. Wilburn | Pharmacist | 2049 E Shiloh Rd, Corinth, MS 38834-3726 | 2009-04-21 |
| Street Address |
5504 PLANTERSVILLE PL |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-3671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101974 | Marina Bartholomew | Registered Nurse | 6111 Brothers Hill Rd, Myrtle Beach, SC 29588-8953 | 2020-07-14 |
| 1528689635 | Christopher David Headley | Registered Nurse | 2887 Ophelia Way, Myrtle Beach, SC 29577-6784 | 2020-04-29 |
| 1205486164 | Deborah Susan Tate | Registered Nurse | 4347 Lake Front Blvd, Myrtle Beach, SC 29588-9666 | 2019-09-12 |
| 1316434822 | Kristy Lynn Strickland | Registered Nurse | 2102 Cromley Cir, Myrtle Beach, SC 29577-3187 | 2018-04-19 |
| 1548760846 | Natalie Sophia Boyle | Registered Nurse | 344 Whipple Run Loop, Myrtle Beach, SC 29588-5515 | 2018-02-14 |
| 1912386095 | Diane Dupuis | Registered Nurse | 490 Saluda River Rd, Myrtle Beach, SC 29588-7457 | 2015-05-22 |
| 1568859379 | Ashlee Benbow | Registered Nurse | 6082 Friendship Ln, Myrtle Beach, SC 29588-8709 | 2015-04-20 |
| 1679970156 | Michelle Ann Mennecke-smith | Registered Nurse | 552 Southern Pines Dr, Myrtle Beach, SC 29579-1238 | 2014-11-26 |
| 1316349566 | Colleen Sortore | Registered Nurse | 2171 Brewster Dr Unit 1223, Myrtle Beach, SC 29577-1784 | 2014-09-18 |
| 1740609189 | Jimmie Williams | Registered Nurse | 1109 Links Rd, Myrtle Beach, SC 29575-5879 | 2014-04-14 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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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.