MS. TYNAKA KWANS WILSON (NPI# 1295217545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295217545 |
| Entity Type | Individual |
| Full Name | MS. TYNAKA KWANS WILSON |
| Credential | APRN |
| Practice Address |
Sc House Calls Inc 1053 Center Street West Columbia SC 29169 |
| Practice Telephone | 8004910909 |
| Mailing Telephone | 8004910909 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22090 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 711 Dixie St, Florence, SC 295012321 | 8432065346 |
| Street Address |
SC HOUSE CALLS INC 1053 CENTER STREET |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083278600 | Kellie J Foxworth | Nurse Practitioner | Sc House Calls Inc, West Columbia, SC 29169 | 2019-04-29 |
| 1164982914 | Editha Anne Butler | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2019-03-20 |
| 1003371931 | June Taylor Clark | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2019-02-05 |
| 1376011718 | Amanda Garrett Boyd | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| 1497163547 | Marie Jose Moubarak | Pediatrics | 407 N Brown St, West Columbia, SC 29169 | 2014-07-31 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861052425 | Kendrea Moore | Nurse Practitioner | 1053 Center St Ste 100, West Columbia, SC 29169-6749 | 2019-06-17 |
| 1922349174 | Falon Leshay Turner | Nurse Practitioner | 668 W Brazos Ave, West Columbia, TX 77486-2616 | 2013-03-13 |
| 1972889590 | Holly Rene Owens | Nurse Practitioner | 120 E Medical Ln, West Columbia, SC 29169-4814 | 2011-10-27 |
| 1629378054 | Stephanie L Mccravy | Nurse Practitioner | 2858 Sunset Blvd Ste B, West Columbia, SC 29169-3420 | 2010-11-02 |
| 1740596634 | Holly C. Edmunds | Nurse Practitioner | Sc House Calls, 1053 Center Street, West Columbia, SC 29169-6749 | 2010-08-30 |
| 1891879326 | Sheila D Belton-gaymon | Nurse Practitioner | 3140 Sunset Blvd, West Columbia, SC 29169 | 2006-10-24 |
| 1669400032 | Jennifer Kirke Lewis Babb | Nurse Practitioner | 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2006-06-28 |
| 1639779853 | Comeshia Anna Deshay Lemon | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2020-10-27 |
| 1669071163 | Amanda Suggs | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2020-10-26 |
| 1588271373 | Bryan Matthew Mcalister | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2020-09-26 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
Please comment or provide details below to improve the information on MS. TYNAKA KWANS WILSON.
| 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.