MRS. ELIZABETH ANN VANDEVELDE


Address: 129 North Washington, Tuomey Healthcare System, Sumter, SC 29152
Phone: 8037745248

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AMERICAN ACADEMY OF NURSE PRACTITIONERS A0796043 01
SC SC DHEC 54-04286 01
SC SC LLR 4286 01

Office Location

Street Address 129 NORTH WASHINGTON
TUOMEY HEALTHCARE SYSTEM
City SUMTER
State SC
Zip Code 29152

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SUMTER
Zip Code 29152

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Dataset Information

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.

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