MRS. TABETHA BENTLEY (NPI# 1497110381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497110381 |
| Entity Type | Individual |
| Full Name | MRS. TABETHA BENTLEY |
| Credential | FNP |
| Practice Address |
675 N Morgan Ave Andrews SC 29510-2417 |
| Practice Telephone | 8432642680 |
| Practice Fax Number | 8432642690 |
| Mailing Telephone | 8432642680 |
| Mailing Fax Number | 8432642690 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19873 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
675 N MORGAN AVE |
| City | ANDREWS |
| State | SC |
| Zip Code | 29510-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141093 | Sherrie B Richardson | Family Medicine | 675 N Morgan Ave, Andrews, SC 29510-2417 | 2019-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578948733 | Jessica Mont | Registered Nurse | 201 Olivia Road, Andrews, SC 29510 | 2015-07-29 |
| 1801219845 | St. James-santee Family Health Center, Inc. | Clinic/Center | 675 North Morgan Avenue, Andrews, SC 29510 | 2014-01-28 |
| 1861820896 | White Pine Land Company Inc | Pharmacy | 15 West Ashland Street, Andrews, SC 29510 | 2013-10-30 |
| 1952472284 | Gene Alan Ziegenhorn | Dentist | 902 S Morgan Ave, Unit 1, Andrews, SC 29510 | 2006-11-10 |
| 1184649055 | Reynolds Drug Strore Inc | Durable Medical Equipment & Medical Supplies | 7 S Morgan Ave, Andrews, SC 29510 | 2006-07-13 |
| 1124003074 | Alexander S. Hemingway | Chiropractor | 502 Brooks Rd, Andrews, SC 29510 | 2005-12-14 |
| 1134121221 | Larry T Wilson | Family Medicine | 701 S Morgan Ave, Andrews, SC 29510 | 2005-06-02 |
| 1952831505 | Train Up Speech Therapy Services, LLC | Spec/Tech, Pathology | 212 W. Main St., Andrews, SC 29510 | 2017-06-15 |
| 1609936368 | Hemingway Chiropractic | Chiropractor | 502 Brooks Rd, Andrews, SC 29510 | 2006-12-11 |
| 1104995372 | Georgetown Physician Associates, LLC | Clinic/Center | 701 S Morgan Ave, Andrews, SC 29510 | 2006-11-06 |
| Find all providers in zip 29510 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302931 | Meagan Leighann Cunningham | Nurse Practitioner | 900 Morningside Dr, Andrews, TX 79714-3906 | 2020-09-23 |
| 1992348601 | April Sue Turner | Nurse Practitioner | 2751 Us-19 Bus, Andrews, NC 28901 | 2019-10-25 |
| 1114293065 | Donna Jean Rich | Nurse Practitioner | 413 Se 1st St, Andrews, TX 79714 | 2012-03-26 |
| 1720688807 | Selena Augustine Chamberlain | Nurse Practitioner | 701 S Morgan Ave, Andrews, SC 29510-2959 | 2020-10-28 |
| 1972073906 | Shannan Wayne Clawson | Nurse Practitioner | 1411 N Main St, Andrews, TX 79714-3696 | 2018-12-03 |
| 1306398953 | Bailey Hargrave | Nurse Practitioner | 700 Hospital Dr, Andrews, TX 79714-3638 | 2016-10-31 |
| 1720538606 | Julie Ann Parker | Nurse Practitioner | 700 Hospital Dr, Andrews, TX 79714-3638 | 2016-10-04 |
| 1821488313 | Stacey Hastings | Nurse Practitioner | 1411 N Main St, Andrews, TX 79714-3696 | 2015-02-04 |
| 1285065946 | Christopher Alan Stansell | Nurse Practitioner | 1411 N Main St, Andrews, TX 79714-3696 | 2013-12-06 |
| 1497007116 | Gordon Patrick Mattimoe | Nurse Practitioner | 208 Nw 2nd St, Andrews, TX 79714-6308 | 2012-10-04 |
| Find all providers in ANDREWS | ||||
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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.