MRS. CAITLIN MCCORMICK (NPI# 1417598186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417598186 |
| Entity Type | Individual |
| Full Name | MRS. CAITLIN MCCORMICK |
| Credential | ARNP |
| Practice Address |
4610 Oleander Dr Myrtle Beach SC 29577-5752 |
| Mailing Address |
105 Halton Village Cir Greenville SC 29607-6833 |
| Practice Telephone | 7248585941 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 23158 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093104424 | Caitlin Mccormick | Occupational Therapist | 900 Centennial Blvd Ste 203, Voorhees, NJ 08043 | 2015-01-22 |
| 1568868123 | Caitlin Mccormick | Physician Assistant | 1 Lake St, Building D, New Britain, CT 06052-1396 | 2014-11-10 |
| Street Address |
4610 OLEANDER DR |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-5752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447393178 | Daryl Huffman | Dentist | 4610 Oleander Dr, Suite102, Myrtle Beach, SC 29577-5752 | 2007-02-14 |
| 1841500972 | Robert S. Merritt Dmd PC | Dentist | 4610 Oleander Dr, Suite 103, Myrtle Beach, SC 29577-5752 | 2010-10-07 |
| 1619157294 | Grand Strand Plastic & Reconstructive Surgery Center Pa | Specialist | 4610 Oleander Dr, Suite 101, Myrtle Beach, SC 29577-5752 | 2007-11-12 |
| 1740478668 | Oleander Family and Cosmetic Dentistry, LLC | Dentist | 4610 Oleander Dr, Suite 103, Myrtle Beach, SC 29577-5752 | 2007-10-04 |
| 1245428283 | Robert Spann Merritt | Dentist | 4610 Oleander Dr, Suite103, Myrtle Beach, SC 29577-5752 | 2007-10-03 |
| 1679616726 | Edward V. Horton | Dentist | 4610 Oleander Dr, Suite 103, Myrtle Beach, SC 29577-5752 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| 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 |
|---|---|---|---|---|
| 1508466145 | Ashley Anne Smith | Nurse Practitioner | 581 Hinson Dr Apt 834, Myrtle Beach, SC 29579-4460 | 2020-10-30 |
| 1447801030 | Regenerative Solutions LLC | Nurse Practitioner | 4016 River Oaks Dr Ste 4, Myrtle Beach, SC 29579-6673 | 2019-09-25 |
| 1548811342 | Rachel Dorr | Nurse Practitioner | 185 Fresh Dr Ste A, Myrtle Beach, SC 29579-4436 | 2019-09-23 |
| 1700446234 | Svetlana Claire Brusyanina | Nurse Practitioner | 117 Breakers Dr Unit 233, Myrtle Beach, SC 29579-4428 | 2019-06-17 |
| 1699943399 | Terry Lynn Pratt | Nurse Practitioner | 3127 Mr Joe White Ave, Myrtle Beach, SC 29577-6712 | 2008-02-15 |
| 1871592162 | Sandra Schultz-peters | Nurse Practitioner | 1221 21st Ave N, Myrtle Beach, SC 29577 | 2005-07-19 |
| 1124657556 | Ryan Wilson | Nurse Practitioner | 2761 Agnes Ln, Myrtle Beach, SC 29577-2029 | 2020-04-07 |
| 1750922233 | Vicki Grigg Chacon | Nurse Practitioner | 1201 48th Ave N, Myrtle Beach, SC 29577-5452 | 2019-10-04 |
| 1881235877 | Ashley Brooke Alley | Nurse Practitioner | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2019-10-01 |
| 1700433778 | Lindsey Amanda Rogers | Nurse Practitioner | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2019-08-23 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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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.