LUCILLE MILEY SANDERS (NPI# 1538170121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538170121 |
| Entity Type | Individual |
| Full Name | LUCILLE MILEY SANDERS |
| Other Name | HELEN LUCILLE SANDERS |
| Credential | CFNP |
| Practice Address |
333 Revolutionary Trl Fairfax SC 29827-7109 |
| Mailing Address |
86 Wren St Barnwell SC 29812-1529 |
| Practice Telephone | 8036322533 |
| Practice Fax Number | 8036322451 |
| Mailing Telephone | 8032595762 |
| Mailing Fax Number | 8035360998 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 49 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0070 | 05 |
| Street Address |
333 REVOLUTIONARY TRL |
| City | FAIRFAX |
| State | SC |
| Zip Code | 29827-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033160254 | Baxter Mclendon | Specialist | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-05-12 |
| 1851656243 | Wanda W Tutt | Dietitian, Registered | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2012-07-11 |
| 1649414905 | Walter R Kirby | Physician Assistant | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2009-04-29 |
| 1104979061 | Delois Daniels | Nurse Practitioner | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2007-01-22 |
| 1164516209 | Bobbie Franklin Ayers Jr. | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-10-03 |
| 1003820531 | Richard Boyles | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-07-28 |
| 1407878366 | Janet M Mckissick | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467843078 | We Care Family Resource LLC | Point of Service | 513 Bayshore Dr., Fairfax, SC 29827 | 2015-02-18 |
| 1154606440 | Robert M. Haberkorn Dds | Clinic/Center | 1987 Allendale Fairfax Hwy., Fairfax, SC 29827 | 2011-10-18 |
| 1144370503 | Allendale County Hospital Board | Clinic/Center | 1787 Allendale Fairfax Highway, Fairfax, SC 29827 | 2007-01-10 |
| 1336246677 | Allendale County Hospital Board | Skilled Nursing Facility | 185 Revolutionary Trail, Fairfax, SC 29827 | 2006-09-20 |
| 1881646669 | Shenika L. Marshall-hill | Counselor | 1594 Beaufort Ave. S., Fairfax, SC 29827 | 2006-05-17 |
| 1588623540 | Rebecca Lynn Wilkes | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2006-03-20 |
| 1497745012 | Robert M Haberkorn | Dentist | 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 | 2005-10-25 |
| 1588815021 | James Robert Mynatt | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2008-10-02 |
| 1063607646 | Mol Ky | General Practice | 333 Revolutionary Trail, Fairfax, SC 29827 | 2007-09-07 |
| 1053475566 | Low Country Health Care System, Inc | Pharmacy | 333 Revolutionary Trail, Farifax, SC 29827 | 2006-12-20 |
| Find all providers in zip 29827 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187108 | Jolene M. Mcadam | Nurse Practitioner | 536 Meadow Oak Cir, Fairfax, IA 52228-4709 | 2020-09-02 |
| 1356968820 | Elizabeth Laura Gibbemeyer | Nurse Practitioner | 4209 Ridge Top Rd Apt 410, Fairfax, VA 22030-1120 | 2020-07-01 |
| 1932734274 | Elena Wornom | Nurse Practitioner | 3620 Joseph Siewick Dr Ste 100, Fairfax, VA 22033-1757 | 2020-03-06 |
| 1790327583 | Roula Saleem Dandalides | Nurse Practitioner | 8503 Arlington Blvd # V, Fairfax, VA 22031-4628 | 2019-10-13 |
| 1083124325 | Lu Lucy Wei | Nurse Practitioner | 2700 Prosperity Ave Ste 280, Fairfax, VA 22031-4340 | 2017-09-30 |
| 1700020286 | Suzanne Bailey Molloy | Nurse Practitioner | 4400 University Drive, Msn-2d3 George Mason University Student Health Services, Fairfax, VA 22030 | 2009-04-28 |
| 1518112697 | Amberly Michelle Dunn | Nurse Practitioner | 10390 Democracy Lane, Fairfax, VA 22030 | 2008-11-17 |
| 1205842432 | Katherine Niknia | Nurse Practitioner | Inova Schar Cancer Institute, 8081 Innovation Park Dr, Fairfax, VA 22031 | 2006-07-31 |
| 1508824699 | Susan R Waterbury | Nurse Practitioner | 11212 Waples Mill Rd, Suite 100, Fairfax, VA 22030 | 2006-05-01 |
| 1457960528 | Julie Littlejohn | Nurse Practitioner | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2020-07-24 |
| Find all providers in FAIRFAX | ||||
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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.