MRS. ELIZABETH ANN VANDEVELDE (NPI# 1285899146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285899146 |
Entity Type | Individual |
Full Name | MRS. ELIZABETH ANN VANDEVELDE |
Credential | ANP-C |
Practice Address |
129 North Washington Tuomey Healthcare System Sumter SC 29152 |
Mailing Address |
535 Batty Way Sumter SC 29154-8156 |
Practice Telephone | 8037745248 |
Mailing Telephone | 8036079070 |
Enumeration Date | 2008-07-21 |
Last Update Date | 2019-08-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN9413942 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AMERICAN ACADEMY OF NURSE PRACTITIONERS | A0796043 | 01 | |
SC | SC DHEC | 54-04286 | 01 |
SC | SC LLR | 4286 | 01 |
Street Address |
129 NORTH WASHINGTON TUOMEY HEALTHCARE SYSTEM |
City | SUMTER |
State | SC |
Zip Code | 29152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487201695 | Ethan Lee Brockett | Dentist | Shaw Afb Dental Clinic, Shaw Afb, AE 29152 | 2019-08-22 |
1275066821 | Travis B Grindstaff | General Acute Care Hospital | 411 Polifka Dr, Shaw Afb, SC 29152 | 2017-04-10 |
1851791578 | Terrance Walker | Psychologist | 431 Meadow St, Sumter, SC 29152 | 2014-08-29 |
1124258967 | Jacqueline Mintz | Nurse Practitioner | 524 Nelson Ave, Shaw Afb, SC 29152 | 2009-07-14 |
1396970117 | Jennifer N Steele | Military Health Care Provider | 411 Meadowlark St, Shaw A F B, SC 29152 | 2009-05-22 |
1134211089 | Kibrom T Mehari | Dentist | 449 Shaw Dr, Shaw A F B, SC 29152 | 2006-09-29 |
1134155773 | Theresa Jean Ulichney | Registered Nurse | 420 Polifka Dr, Shaw Afb, SC 29152 | 2006-06-24 |
1366415184 | Kimberly Marie Shanks | Nurse Practitioner | 431 Meadowlark Rd, Shaw Afb, SC 29152 | 2006-02-10 |
1194710780 | Anthony Shawn Bankes | Family Medicine | 411 Medowlark, Shaw Afb, SC 29152 | 2005-09-20 |
1861957516 | Charles Bradford Davis | Physician Assistant | 411 Polifka Dr, Shaw Afb, SC 29152 | 2019-02-07 |
Find all providers in zip 29152 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578173555 | Amy Kelly | Nurse Practitioner | 115 N Sumter St Ste 300, Sumter, SC 29150-4967 | 2020-08-05 |
1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
1326000837 | Deborah Lee Struchen | Nurse Practitioner | 625 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-04-03 |
1558991711 | Jamie Solaine Shorter | Nurse Practitioner | 115 N Sumter St, Sumter, SC 29150-4972 | 2020-01-16 |
1033612627 | Megan Crandall Lybrand | Nurse Practitioner | 129 N Washington St, Sumter, SC 29150 | 2018-03-09 |
1679951990 | Shannon Cornell | Nurse Practitioner | 115 N Sumter St Ste 410, Sumter, SC 29150-4969 | 2015-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841898038 | Latoya Gibson | Nurse Practitioner | 48 Centennial Way, Greenville, SC 29605-4662 | 2020-10-12 |
1003413469 | South Carolina Provider Services | Nurse Practitioner | 413 Wildflower Rd, Easley, SC 29642-8642 | 2020-10-07 |
1427696475 | Porscha Rush | Nurse Practitioner | 1040 Frye Rd, Galivants Ferry, SC 29544-8018 | 2019-12-19 |
1306483011 | Julie Marie Sim | Nurse Practitioner | 35 Bill Fries Dr Bldg F, Hilton Head Island, SC 29926-2731 | 2019-12-02 |
1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
1396225769 | Kristin Claude | Nurse Practitioner | 421 Se Main St Ste 100, Simpsonville, SC 29681-2697 | 2018-08-15 |
1376031732 | Migina Anica Timpson | Nurse Practitioner | 317 Saint Francis Dr Ste 220, Greenville, SC 29601-3976 | 2018-05-01 |
1932601903 | Jamie Andrews Odom | Nurse Practitioner | 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 | 2018-03-06 |
1912406026 | Darrell Quick | Nurse Practitioner | 2145 Carriage Place Dr, Florence, SC 29505-6865 | 2018-02-04 |
1518473115 | Takeela Kinard | Nurse Practitioner | 1842 St Michaels Rd, Columbia, SC 29210-6140 | 2017-12-18 |
Find all providers with the same taxonomy |
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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.