SAMANTHA LAKE HOLLIS (NPI# 1427408855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427408855 |
| Entity Type | Individual |
| Full Name | SAMANTHA LAKE HOLLIS |
| Other Name | SAMANTHA ANN LAKE |
| Credential | DO |
| Practice Address |
764 Saco Lowell Rd Easley SC 29640-3880 |
| Practice Telephone | 8648555525 |
| Mailing Telephone | 8648555525 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 8362 | GA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 304 Shorter Ave Nw Ste 201, Rome, GA 301654256 | 7065093300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912351693 | Samantha Hollis | Social Worker | 126 Dighton Avenue, Taunton, MA 02780 | 2016-04-19 |
| 1366959629 | Samantha Hollis | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2018-01-08 |
| 1396806279 | Samantha Elan Hollis | Emergency Medicine | 4755 Ogletown Stanton Rd, Suite 2e99, Newark, DE 19718-2200 | 2006-12-13 |
| Street Address |
764 SACO LOWELL RD |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-3880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629053749 | Adult Medicine Specialists of Easley Pa | Internal Medicine | 764 Saco Lowell Rd, Easley, SC 29640-3880 | 2005-12-13 |
| 1235681123 | Megan Bennett | Nurse Practitioner | 764 Saco Lowell Rd, Easley, SC 29640-3880 | 2016-10-26 |
| 1528343720 | Jenna Lynn Seawright | Nurse Practitioner | 764 Saco Lowell Rd, Easley, SC 29640-3880 | 2011-10-19 |
| 1316273626 | Courtney Wingo Phillips | Physician Assistant | 764 Saco Lowell Rd, Easley, SC 29640-3880 | 2009-10-21 |
| 1205161957 | Ellen Young | Physician Assistant | 764 Saco Lowell Rd, Easley, SC 29640-3880 | 2009-10-14 |
| 1538290374 | Steven Earl Freeman | Internal Medicine | 764 Saco Lowell Rd, Easley, SC 29640-3880 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141327 | Anne M. Stollberg | Student in an Organized Health Care Education/Training Program | 3 Pheasant Ct, Greenville, SC 29607-5441 | 2020-07-15 |
| 1891313292 | Zachary Blake Riggs | Student in an Organized Health Care Education/Training Program | 2025 Gervais St Unit 321c, Columbia, SC 29204-1803 | 2020-07-12 |
| 1144848797 | Katrina Marie Linenko | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707c, Columbia, SC 29201-5622 | 2020-07-10 |
| 1275151870 | Soo Ji Mun | Student in an Organized Health Care Education/Training Program | 3049 Gedney Circle, Blythewood, SC 29016 | 2020-07-09 |
| 1790303402 | Kaitlyn Michele Pierce | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 1905c, Columbia, SC 29201-5607 | 2020-07-09 |
| 1932727625 | Kati Mathis | Student in an Organized Health Care Education/Training Program | 907 Canterbury Rd, Anderson, SC 29621-1401 | 2020-07-08 |
| 1316565211 | Erin Maureen Bryant | Student in an Organized Health Care Education/Training Program | 811 Polo Rd Apt 517, Columbia, SC 29223-4426 | 2020-07-08 |
| 1790303634 | Benjamin Dillion | Student in an Organized Health Care Education/Training Program | 800 Alexander Rd Apt 354, Cayce, SC 29033-4383 | 2020-07-08 |
| 1265050132 | Leona Joyce Keller | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 901, Columbia, SC 29201-5194 | 2020-07-08 |
| 1922626720 | Brett William Elder | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707, Columbia, SC 29201-5622 | 2020-07-08 |
| 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.