CASIE BROOKE ANDERSON (NPI# 1528408051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528408051 |
Entity Type | Individual |
Full Name | CASIE BROOKE ANDERSON |
Credential | FNP |
Practice Address |
219a N Mine St Mc Cormick SC 29835-8363 |
Mailing Address |
313 Main St Ste B Greenwood SC 29646-2757 |
Practice Telephone | 8648523336 |
Practice Fax Number | 8648523339 |
Mailing Telephone | 8643880301 |
Mailing Fax Number | 8643881718 |
Enumeration Date | 2013-06-28 |
Last Update Date | 2013-07-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18337 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
219A N MINE ST |
City | MC CORMICK |
State | SC |
Zip Code | 29835-8363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255324190 | Lisa D Jennings | Family Medicine | 219a N Mine St, Mc Cormick, SC 29835-8363 | 2005-08-25 |
1427080902 | Ashley C Wiggins | Family Medicine | 219a N Mine St, Mc Cormick, SC 29835-8363 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528609948 | Tontalia Williams | Technician | 108 Oak Street, Mccormick, SC 29835 | 2019-10-07 |
1275095580 | Ohio Valley Physicians Inc | Family Medicine | 504 North Mine St, Mccormick, SC 29835 | 2019-04-04 |
1992904536 | Robert Jay Lagroon | Dentist | 791 Hwy 7, Mccormick, SC 29835 | 2007-07-13 |
1063545119 | Carolina Health Centers, Inc. | Clinic/Center | 219a North Mine Street, Mccormick, SC 29835 | 2007-03-14 |
1336272400 | Carolina Health Centers | Dentist | 219b North Mine Street, Mccormick, SC 29835 | 2007-03-14 |
1245329143 | Carrie Gwennette Motes | Counselor | 202 Hwy. 28 North, Mccormick, SC 29835 | 2006-10-11 |
1437259207 | Pearl Blair-aiken | Social Worker | 209 Peachtree Street, Mccormick, SC 29835 | 2006-09-22 |
1710082391 | Susan Elizabeth Davis | Counselor | 202 Mine Street, Mccormick, SC 29835 | 2006-09-14 |
1851308456 | Savannah Heights Living Center, LLC | Skilled Nursing Facility | 1 Holiday Rd, Mccormick, SC 29835 | 2006-08-03 |
1134159171 | Robert J Kellett | Family Medicine | 219-a North Mine Street, Mccormick, SC 29835 | 2006-07-04 |
Find all providers in zip 29835 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326681818 | Angie Hickey | Nurse Practitioner | 207 Holiday Rd, Mc Cormick, SC 29835-3430 | 2019-10-28 |
1679925358 | Erin Ledford Talbert | Nurse Practitioner | 207 Holiday Rd, Mc Cormick, SC 29835-3430 | 2016-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
Find all providers with the same taxonomy |
City | MC CORMICK |
Zip Code | 29835 |
Please comment or provide details below to improve the information on CASIE BROOKE ANDERSON.
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.