MARY M ELLENBURG (NPI# 1538586508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538586508 |
Entity Type | Individual |
Full Name | MARY M ELLENBURG |
Credential | RN |
Practice Address |
220 Mcgee Rd Anderson SC 29625-2104 |
Practice Telephone | 8642605617 |
Practice Fax Number | 8642604375 |
Mailing Telephone | 8642605617 |
Mailing Fax Number | 8642604375 |
Enumeration Date | 2014-03-27 |
Last Update Date | 2014-03-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
39385 | SC | Nursing Service Providers |
Street Address |
220 MCGEE RD |
City | ANDERSON |
State | SC |
Zip Code | 29625-2104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457357154 | Teresa Page Tomlinson | Nurse Practitioner | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2005-06-27 |
1477153484 | Je'monica Marie Shell | Licensed Practical Nurse | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2020-10-28 |
1942813456 | Lashanda Nicole Booker | Registered Nurse | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2020-08-25 |
1831708940 | Noel Rivest Neal | Registered Nurse | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2020-07-24 |
1578180196 | Taylor Brandy Crotts | Registered Nurse | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2020-06-30 |
1497388532 | Misty Dawne Hagan | Registered Nurse | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2020-02-18 |
1972152627 | Annie Mccray | Registered Nurse | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2019-09-05 |
1881170082 | Stephanie Reed Joseph | Counselor | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2018-07-11 |
1144728510 | Jennifer Donehue | Registered Nurse | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2018-01-31 |
1699290429 | Georgia Alison Patterson | Registered Nurse | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2017-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629554704 | Kathryn Moules Newton | Registered Nurse | 200 Mcgee Ed., Anderson, SC 29625 | 2018-07-12 |
1285121640 | Linda Reeves Mccullough | Registered Nurse | 1014bwhitehall Rd., Anderson, SC 29625 | 2018-04-20 |
1245688787 | Sacred Heart Beats | Music Therapist | 1107 Watkins Road, Anderson, SC 29625 | 2016-05-25 |
1649667718 | Deanna R Luvene | Counselor | 515b Camson Road, Abderson, SC 29625 | 2015-04-16 |
1295162048 | Kimberly Dickerson | Pharmacist | 922 Highway 28 By-pass, Anderson, SC 29625 | 2013-10-10 |
1386998458 | Judy E. Festa-hanna | Counselor | 226 Mcgee Road, Anderson, SC 29625 | 2012-10-29 |
1902156201 | Britanny Ab Rood | Pharmacist | 109 Hwy 28 Bypass, Anderson, SC 29625 | 2012-09-13 |
1689993065 | Carey Glenn | Midwife | 1107 Watkins Rd, Anderson, SC 29625 | 2010-05-24 |
1033350616 | Mobility Rehab Products, LLC | Durable Medical Equipment & Medical Supplies | 235 Polaris Street, Anderson, SC 29625 | 2009-03-12 |
1437329018 | Moriah Healthcare Services LLC | Clinic/Center | 823 Pearman Dairy Rd, Anderson, SC 29625 | 2008-03-10 |
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Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144728510 | Jennifer Donehue | Registered Nurse | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2018-01-31 |
1932653490 | Ruth Ann Whittam | Registered Nurse | 220 Mcgee Rd, Anderson, SC 29625-2104 | 2016-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174123830 | Keri Shannon Frazier | Registered Nurse | 201 Timberwood Ln, Easley, SC 29640-7170 | 2020-10-30 |
1942834676 | Sha Robinson Haynes | Registered Nurse | 120 Katrina Ct, Lexington, SC 29073-6924 | 2020-03-03 |
1093347973 | Donna Shilane Outlaw-thomas | Registered Nurse | 218 Golden Starr Rd, Santee, SC 29142-9363 | 2020-02-07 |
1831751585 | Leeanne Beard | Registered Nurse | 105 Duck Blind Ct, Summerville, SC 29483-2866 | 2019-07-02 |
1336646884 | Robert Lee Settles Sr. | Registered Nurse | 736 E Martintown Rd, North Augusta, SC 29841-4288 | 2018-04-11 |
1942674866 | Julie Toppen | Registered Nurse | 417 Whispering Winds Dr, Lexington, SC 29072-3866 | 2015-11-16 |
1265803530 | Andrea Williams | Registered Nurse | 500 Congaree Church Rd, Gadsden, SC 29052-9713 | 2015-10-13 |
1912324781 | Linda Summerall | Registered Nurse | 1407 King St, Beaufort, SC 29902-4937 | 2014-03-18 |
1538581269 | Margery A Brown | Registered Nurse | 725 Old Edgefield Rd, North Augusta, SC 29841-4247 | 2014-01-15 |
1992127948 | Teresa Garris | Registered Nurse | 10 J P Kneece Dr, Monetta, SC 29105-9540 | 2014-01-10 |
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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.