MRS. AMY P ETHERIDGE (NPI# 1437759222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437759222 |
| Entity Type | Individual |
| Full Name | MRS. AMY P ETHERIDGE |
| Other Name | MISS AMY E PEARSON |
| Credential | RN |
| Practice Address |
3650 Park Avenue Blvd Mount Pleasant SC 29466-7242 |
| Practice Telephone | 8438568060 |
| Practice Fax Number | 8438814247 |
| Mailing Telephone | 8438568060 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
61856 | SC | Nursing Service Providers |
| Street Address |
3650 PARK AVENUE BLVD |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29466-7242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679979892 | Chanda Woodard | Registered Nurse | 3100 Thomas Cairo Blvd, Mount Pleasant, SC 29466-7135 | 2014-11-16 |
| 1114326279 | Marianne Bates | Registered Nurse | 3221 John Bartram Pl, Mount Pleasant, SC 29466-7080 | 2014-08-14 |
| 1255776050 | Kathryn Nash | Registered Nurse | 385 Egypt Rd, Mount Pleasant, SC 29464-7200 | 2013-05-07 |
| 1609211556 | Joanne Marie Silvestri | Registered Nurse | 605 Center St, Mount Pleasant, SC 29464-4901 | 2013-05-06 |
| 1659905834 | Meagan Mcinville Brown | Registered Nurse | 1000 Warrior Way, Mount Pleasant, SC 29466-9241 | 2020-02-26 |
| 1730524646 | Susan Griffiths | Registered Nurse | 1000 Warrior Way, Mount Pleasant, SC 29466-9241 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841400 | Tiffany Holcombe Price | Registered Nurse | 160 Ivory Key Rd, Saluda, SC 29138-8177 | 2020-11-05 |
| 1679187421 | Natalie Padgett | Registered Nurse | 1025 Sea Island Pkwy, Saint Helena Island, SC 29920-4399 | 2020-08-31 |
| 1316573678 | Amanda Kalinsky | Registered Nurse | 3100 Carner Ave, North Charleston, SC 29405-3001 | 2020-03-19 |
| 1396395588 | Elizabeth Fisher | Registered Nurse | 409 Airy Springs Rd, Easley, SC 29642-8702 | 2019-09-19 |
| 1194373639 | Opal Elaine Sobieszczyk | Registered Nurse | 42 Isle of Hope, Mt Pleasant, SC 29464-6634 | 2019-08-28 |
| 1740836139 | Kellie Elizabeth Baker | Registered Nurse | 1475 E Liberty St, York, SC 29745-6440 | 2019-08-13 |
| 1871148528 | Kelly Jo Childers | Registered Nurse | 1010 Devinney Rd, York, SC 29745-2127 | 2019-08-08 |
| 1003460668 | Laureen Mitchell | Registered Nurse | 2100 Bull St., Columbia, SC 29201-2104 | 2019-07-31 |
| 1578028791 | Brandi Hallman | Registered Nurse | 300 Matthews Drive, Saluda, SC 29138 | 2019-02-01 |
| 1275097354 | Hilary Carlson | Registered Nurse | 8585 Vistavia Rd Ofc, North Charleston, SC 29406-9752 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29466 |
Please comment or provide details below to improve the information on MRS. AMY P ETHERIDGE.
| 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.