HADYN STANDS GAUSE (NPI# 1376031393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376031393 |
Entity Type | Individual |
Full Name | HADYN STANDS GAUSE |
Credential | NP |
Practice Address |
952 Lake Murray Blvd Irmo SC 29063-2954 |
Mailing Address |
359 Poindexter Ln Lexington SC 29072-7859 |
Practice Telephone | 8037086700 |
Mailing Telephone | 8032613322 |
Enumeration Date | 2018-04-25 |
Last Update Date | 2018-04-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21783 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | APRN LICENSE | 21783 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1 Wellness Blvd Ste 2000, Irmo, SC 290632871 | 8037491111 | 8037490050 |
Street Address |
952 LAKE MURRAY BLVD |
City | IRMO |
State | SC |
Zip Code | 29063-2954 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710339890 | Melissa Mcnaughton Bell | Nurse Practitioner | 952 Lake Murray Blvd, Irmo, SC 29063-2954 | 2016-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
Find all providers in zip 29063 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
1518570589 | Lesa Marie Jackson | Nurse Practitioner | 14 Raintree Ct, Irmo, SC 29063-9431 | 2020-08-28 |
1932753738 | Kosha Vyas Richardson | Nurse Practitioner | 434 Crims Creek Way, Irmo, SC 29063-8877 | 2019-07-30 |
1275099954 | Lisa Moore | Nurse Practitioner | 6 Misty Glen Ct, Irmo, SC 29063-8134 | 2019-02-18 |
1710339890 | Melissa Mcnaughton Bell | Nurse Practitioner | 952 Lake Murray Blvd, Irmo, SC 29063-2954 | 2016-07-12 |
1568001642 | Unified Family Health Center LLC | Nurse Practitioner | 1032a Kinley Rd, Irmo, SC 29063-9632 | 2020-01-06 |
1417595455 | Catherine King Thomas | Nurse Practitioner | 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 | 2019-12-19 |
1720594914 | Briana Martin Huyck | Nurse Practitioner | 7611 Saint Andrews Rd, Irmo, SC 29063 | 2017-12-26 |
1609382597 | Kimberly D. Irwin | Nurse Practitioner | 1008 Lake Murray Blvd, Irmo, SC 29063-2821 | 2017-12-14 |
1457873721 | Hunter B Porter | Nurse Practitioner | 1846 Dutch Fork Rd, Irmo, SC 29063 | 2017-07-08 |
Find all providers in IRMO |
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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.