KATHERINE KONCHALSKI


Address: 200 Patewood Dr, Ste A200, Greenville, SC 29615-3593
Phone: 8644545115

KATHERINE KONCHALSKI (NPI# 1508268947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508268947
Entity Type Individual
Full Name KATHERINE KONCHALSKI
Practice Address 200 Patewood Dr
Ste A200
Greenville
SC 29615-3593
Mailing Address 1 Independence Pt Ste 212
Greenville
SC 29615-4536
Practice Telephone 8644545115
Practice Fax Number 8644545111
Enumeration Date 2014-09-17
Last Update Date 2018-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
19064 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC NP2958 05

Office Location

Street Address 200 PATEWOOD DR
STE A200
City GREENVILLE
State SC
Zip Code 29615-3593

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508861345 John Kim Johnson Neurological Surgery 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 2005-06-17
1255941241 Sharmaine Barnes Specialist/Technologist 200 Patewood Dr, Greenville, SC 29615-3593 2020-08-04
1598320897 Yana Ginzburg Physical Therapist 200 Patewood Dr, Greenville, SC 29615-3593 2019-05-02
1457891228 Sierra R Williams Nurse Practitioner 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 2017-02-27
1063951333 Megan Lee Hiott Nurse Practitioner 200 Patewood Dr, A330, Greenville, SC 29615-3593 2017-02-19
1316485394 Anita Suzette Combs Nurse Practitioner 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 2017-02-09
1730626813 Lauren Lee Hays Nurse Practitioner 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 2017-01-26
1497200083 Abigail Pellett Physical Therapist 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 2016-08-24
1033664909 Prisma Health-upstate General Acute Care Hospital 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 2016-08-22
1144775032 Prisma Health-upstate General Acute Care Hospital 200 Patewood Dr, Building A, Greenville, SC 29615-3593 2016-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194358051 Adenike Orogade Behavior Technician 17 Caldedon Ct, Suite B, Greenville, SC 29615 2020-02-19
1629608369 Jennifer Jacobsen Behavior Technician 17 Caldedon Court, Suite B, Greenville, SC 29615 2020-01-22
1932668217 Carolina Orthopaedic and Neurosurgical Associates Orthopaedic Surgery Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 2019-03-18
1255816070 Trevis L Cureton Pharmacist 2401 East North St, Greenville, SC 29615 2018-09-27
1497232565 Jacob J Fountain Nurse Practitioner 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 2018-07-23
1346726924 St. Francis Physician Services, Inc Internal Medicine 5 Hoke Smith Blvd, Greenville, SC 29615 2018-07-17
1558853101 Alexandra Michelle Taylor Audiologist 200 Patewood Dr Ste 400, Greenville, SC 29615 2018-05-30
1316466543 Mariah Hope Mosher Behavioral Analyst 7 Mckenna Commons Court, Greenvilee, SC 29615 2017-09-19
1326400896 Karen L Heaps Counselor 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 2016-03-24
1134589013 Sharon Erk Technician, Other 2950 E.norths St, Greenville, OH 29615 2016-03-04
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982251138 Chelsea Neaoma Lyday Nurse Practitioner 3005 Joe Ramsey Blvd E, Greenville, TX 75401-7714 2019-08-22
1275704645 Ashley Ledford Fuller Nurse Practitioner 3980 Highway 100, Greenville, GA 30222-2109 2008-03-13
1831371871 Dana L Silverman Nurse Practitioner 45 Stonewold Way, Greenville, DE 19807-2566 2007-12-01
1750369195 Pamela Larsen Nurse Practitioner Pediatric Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 2006-01-05
1114578259 Jessica Heckart Hardison Nurse Practitioner 118 Oakmont Dr, Greenville, NC 27858-5936 2019-09-20
1295380046 Kathryn A Campbell Nurse Practitioner 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 2019-08-08
1144875501 Amanda Parker Mitchell Nurse Practitioner 913 E Arlington Blvd, Greenville, NC 27858-5864 2019-08-02
1275004491 Rebecca Bowman Nurse Practitioner 300 Bethesda Dr, Greenville, NC 27834-7218 2018-12-16
1053806877 Claudina Denisse Castillo Nurse Practitioner 200 Patewood Dr Ste A330, Greenville, SC 29615 2018-06-25
1952800682 Arlene Merle Nurse Practitioner 2150 Herbert Ct, Greenville, NC 27834-3736 2018-02-08
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Competitor

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City GREENVILLE
Zip Code 29615

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Dataset Information

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.

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