RAEDENA L HILL (NPI# 1417425620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417425620 |
| Entity Type | Individual |
| Full Name | RAEDENA L HILL |
| Credential | FNP-C |
| Practice Address |
401 S Church St Charleston MS 38921-2257 |
| Mailing Address |
4425 Chamberlin Oaks Dr Hernando MS 38632-6612 |
| Practice Telephone | 6626475816 |
| Mailing Telephone | 6626148612 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 902914 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 S CHURCH ST |
| City | CHARLESTON |
| State | MS |
| Zip Code | 38921-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477644466 | Yolanda K Berkley | Nurse Practitioner | 401 S Church St, Charleston, MS 38921-2257 | 2006-09-27 |
| 1013559426 | Jessica Elizabeth Mcgee | Nurse Practitioner | 401 S Church St, Charleston, MS 38921-2257 | 2019-10-17 |
| 1447891692 | Audrey Leann Williamson | Nurse Practitioner | 401 S Church St, Charleston, MS 38921-2257 | 2019-09-30 |
| 1679124713 | Catherine Moring | Dietitian, Registered | 401 S Church St, Charleston, MS 38921-2257 | 2019-09-20 |
| 1134596919 | Cassala Ward | Nurse Practitioner | 401 S Church St, Charleston, MS 38921-2257 | 2015-08-27 |
| 1801287883 | Shana Belle Smith | Nurse Practitioner | 401 S Church St, Charleston, MS 38921-2257 | 2015-02-11 |
| 1457796922 | Monica Joy Carter | Nurse Practitioner | 401 S Church St, Charleston, MS 38921-2257 | 2013-05-09 |
| 1568766145 | Lisa Bradham | Nurse Practitioner | 401 S Church St, Charleston, MS 38921-2257 | 2010-12-22 |
| 1831329887 | Charleston Clinic | Nurse Practitioner | 401 S Church St, Charleston, MS 38921-2257 | 2009-07-23 |
| 1649477191 | Robert L. Carter | Emergency Medicine | 401 S Church St, Charleston, MS 38921-2257 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717459 | Square Drugs, LLC | Pharmacy | 126 Court Square, Charleston, MS 38921 | 2019-09-04 |
| 1588015341 | Kyle Wiggins | Dentist | 203 South Market St, Charleston, MS 38921 | 2016-06-23 |
| 1659555761 | Tallahatchie General Hospital and Extended Care Facility | Nursing Facility/Intermediate Care Facility | 201 South Market Street, Charleston, MS 38921 | 2007-12-26 |
| 1316152010 | Wolfe Family Medical Clinic Pllc | Clinic/Center | 203 E Walnut St, Charleston, MS 38921 | 2007-05-14 |
| 1962617530 | East Tallahatchie Schools | Registered Nurse | 35 Oak Grove Road, Charleston, MS 38921 | 2007-05-14 |
| 1518052661 | Carlene Maynor Wolfe | Nurse Practitioner | 204 East Walnut Street, Charleston, MS 38921 | 2006-10-04 |
| 1003921172 | James Oscar Wilde Jr. | Family Medicine | 201 S. Market St., Charleston, MS 38921 | 2006-08-20 |
| 1851919658 | Delta Med South, Inc. | Durable Medical Equipment & Medical Supplies | 7 Court Sq, Charleston, MS 38921 | 2020-07-08 |
| 1932616950 | Sharon Bradley | Homemaker | 29 Nell St, Charleston, MS 38921-1424 | 2017-12-30 |
| 1649595505 | Lasuna M Curry | Counselor | 17 N Market St, Charleston, MS 38921-1524 | 2010-04-05 |
| Find all providers in zip 38921 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043842230 | Lisa Ann Hahl | Nurse Practitioner | 30 Courtenay Drive Room 217, Msc 592, Charleston, SC 29425-8911 | 2020-02-06 |
| 1497394290 | Allison Smith | Nurse Practitioner | 1001 Centre Way, Charleston, WV 25309-9427 | 2019-12-27 |
| 1770129553 | Elizabeth Ashley Halicki | Nurse Practitioner | 96 Jonathan Lucas St Ste 420, Charleston, SC 29425-8900 | 2019-11-26 |
| 1144784919 | Danielle Alyssa Paquette | Nurse Practitioner | 30 Courtenay Dr Suite 282 Msc 295, Charleston, SC 29425-0001 | 2019-01-25 |
| 1649752791 | Ashley Catherine Waybright | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 904, Charleston, WV 25304-1234 | 2018-09-05 |
| 1679069090 | Jessica Ueda | Nurse Practitioner | 310 35th St Se Ste 11, Charleston, WV 25304-1352 | 2018-07-09 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1962913038 | Kasey Brown | Nurse Practitioner | 830 Pennsylvania Ave Ste 110, Charleston, WV 25302-3389 | 2017-10-17 |
| 1841700440 | Laura Cunnings | Nurse Practitioner | 202 Georgetown Pl, Charleston, WV 25314-1866 | 2017-10-09 |
| 1386163392 | Primary Care At Home of West Virginia, LLC | Nurse Practitioner | 414 Greenway Ave Ste 201, Charleston, WV 25309-1475 | 2017-09-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 38921 |
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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.