SHELLI GIBBS (NPI# 1336697846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336697846 |
| Entity Type | Individual |
| Full Name | SHELLI GIBBS |
| Practice Address |
267 Treeland Dr Suite C Ladson SC 29456-3083 |
| Practice Telephone | 8432772240 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20314 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
267 TREELAND DR SUITE C |
| City | LADSON |
| State | SC |
| Zip Code | 29456-3083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174159248 | Ingleside Family Dental, LLC | Dentist | 9403 Highway 78, Suite 201, Ladson, SC 29456 | 2020-03-20 |
| 1598231359 | Destiny Jenay Adkins | Specialist/Technologist | 9525 Highway 78 Apartment 400-207, Ladson, SC 29456 | 2018-10-19 |
| 1477049484 | Adebambo Adesanya | Driver | 1008 Turtle Dove Ln, Ladson, SC 29456 | 2018-07-03 |
| 1184117327 | Lauren Elizabeth Bradley | Speech-Language Pathologist | 9565 Hwy 78, Bldg. 700, Ste. 102, Ladson, SC 29456 | 2018-06-12 |
| 1205348067 | Samantha Marie Grimes | Speech-Language Pathologist | 9565 Highway 78 Bldg 102, Ladson, SC 29456 | 2017-11-01 |
| 1699295915 | Sara Paige Gagnier | Occupational Therapist | 9565 Hwy 78 Bldg 700 Ste 102, Ladson, SC 29456 | 2017-06-27 |
| 1467982728 | Heritage Dental LLC | Clinic/Center | 9598 Palmetto Commerce Parkway, Ladson, SC 29456 | 2017-06-19 |
| 1013384239 | Zachary Jordan | Pharmacist | 3685 Ladson Rd., Ladson, SC 29456 | 2015-08-24 |
| 1831534676 | Tracie Jo Horton | Registered Nurse | 3321 Ladson Rd., Ladson, SC 29456 | 2013-05-07 |
| 1972859684 | Nicole Marie Hall | Physical Therapist | 4340 Ladson Rd Ste B, Ladson, SC 29456 | 2012-07-31 |
| Find all providers in zip 29456 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615053 | Michelle Andrea Lyles | Nurse Practitioner | 337 Chemistry Cir, Ladson, SC 29456-5294 | 2020-09-23 |
| 1568078939 | Anna Wayne Streisel | Nurse Practitioner | 9565 Highway 78 Bldg 100, Ladson, SC 29456-4118 | 2020-09-21 |
| 1780828293 | Tiffany G Mckeel | Nurse Practitioner | 3495 Iron Horse Rd, Ladson, SC 29456-4319 | 2009-04-28 |
| 1174121206 | Wilson Mccall Fitchett | Nurse Practitioner | 3495 Iron Horse Rd, Ladson, SC 29456-4319 | 2020-10-12 |
| 1194202788 | Anne Mardel Mcdaniel | Nurse Practitioner | 4278 Ladson Rd, Ladson, SC 29456 | 2018-07-26 |
| 1861926735 | Jessica Lynn Burke | Nurse Practitioner | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2017-04-17 |
| 1356799282 | Sandra Afrifah | Nurse Practitioner | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2016-06-01 |
| 1194181693 | Elizabeth Bilancione | Nurse Practitioner | 4278 Ladson Rd, Ladson, SC 29456-5452 | 2016-01-13 |
| 1740627967 | Melissa Lynn Baatz | Nurse Practitioner | 9625 Highway 78, Ladson, SC 29456-3913 | 2013-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| 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.