MS. SARAH MANGLICMOT CAMPOS (NPI# 1528569712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528569712 |
| Entity Type | Individual |
| Full Name | MS. SARAH MANGLICMOT CAMPOS |
| Credential | APRN |
| Practice Address |
2050 Corporate Centre Dr Ste 220 Myrtle Beach SC 29577-7428 |
| Practice Telephone | 8436859399 |
| Practice Fax Number | 8665588810 |
| Mailing Telephone | 8436859399 |
| Mailing Fax Number | 8665588810 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21323 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
21323 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1137 Sam Rittenberg Blvd, Charleston, SC 294073360 | 8436859399 | 8665588810 |
| 2411 N Oak St Ste 108, Myrtle Beach, SC 29577 | 8436859399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086577 | Sarah Lenette Campos | Behavior Technician | 2 Padre Pkwy Ste 101, Rohnert Park, CA 94928-2114 | 2020-06-04 |
| 1700420635 | Sarah H Campos | Behavior Technician | 1000 Corporate Center Dr Ste 120, Monterey Park, CA 91754-7610 | 2019-11-04 |
| 1366967754 | Sarah Campos | Physician Assistant | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-08-07 |
| Street Address |
2050 CORPORATE CENTRE DR STE 220 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-7428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671027 | Tara Sharay Woods | Nurse Practitioner | 215 Ronnie Ct Ste D, Myrtle Beach, SC 29579-4204 | 2019-10-24 |
| 1629611694 | Nancy Lauren Johnson | Nurse Practitioner | 101 Mcleod Health Blvd, Myrtle Beach, SC 29579-4477 | 2019-10-23 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1679088793 | Maribeth Reid | Nurse Practitioner | 3236 Holmestown Rd Unit E1, Myrtle Beach, SC 29588-7495 | 2017-12-12 |
| 1184165714 | Emily Whitehurst | Nurse Practitioner | 3913 Carnegie Ave, Apt 216, Myrtle Beach, SC 29588-1144 | 2017-03-15 |
| 1851835441 | Sandra Graham | Nurse Practitioner | 101 Mcleod Health Blvd Ste 202, Myrtle Beach, SC 29579-4477 | 2016-12-15 |
| 1487058434 | Ashley Adams | Nurse Practitioner | 4887 Socastee Blvd, Myrtle Beach, SC 29588-7245 | 2014-10-20 |
| 1699191262 | Tiffany Mahaffey | Nurse Practitioner | 1101 Brightwater Drive, Agape Physicians Care, Myrtle Beach, SC 29579 | 2014-03-06 |
| 1902235864 | Larissa Connell | Nurse Practitioner | 2510 N Kings Hwy, Myrtle Beach, SC 29577-3037 | 2013-11-01 |
| 1568585966 | Forest Family Practice, LLC | Nurse Practitioner | 3874 Renee Drive, Suite B, Myrtle Beach, SC 29579 | 2007-04-09 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on MS. SARAH MANGLICMOT CAMPOS.
| 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.