CATHY B MULLOY (NPI# 1568014587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568014587 |
| Entity Type | Individual |
| Full Name | CATHY B MULLOY |
| Credential | APRN, ANP-BC |
| Practice Address |
3422 Beacon Dr Sumter SC 29154-8213 |
| Practice Telephone | 8433672315 |
| Mailing Telephone | 8433672315 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
200731 | SC | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4270 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3422 BEACON DR |
| City | SUMTER |
| State | SC |
| Zip Code | 29154-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774346 | George Effah Osei | Family Medicine | Tandem Health, 1278 North Lafayette Drive, Sumter, SC 29154 | 2020-06-16 |
| 1245700855 | Good Samaritan Way | Home Health | 3340 Laurderdale Lane, Sumter, SC 29154 | 2018-11-27 |
| 1255700175 | Sherry Elder | Nurse Practitioner | 2065 Mccrays Mill Road, Ltc Health Solutions, Sumter, SC 29154 | 2015-09-21 |
| 1528454253 | Royal Homecare & Healthcare Staffing, LLC | Nursing Care | 1199 Floyd Dr, Sumter, SC 29154 | 2015-04-09 |
| 1891947305 | Therapy 4 Kids LLC | Physical Therapist | 3265 Tamarah Way, Sumter, SC 29154 | 2008-10-15 |
| 1326254046 | Lisa Jeffus Smith | Physician Assistant | 1761 Pinewood Road, Agape Physicians Care, Sumter, SC 29154 | 2007-05-16 |
| 1588792998 | Dental Team of Sumter, P.a. | Dentist | 5635 Broad St Ext, Sumter, SC 29154 | 2007-02-28 |
| 1992893465 | Robert Capers Lee | Dentist | 5635 Broad Street Ext, Sumter, SC 29154 | 2006-10-10 |
| 1225363336 | Arian L. Ray Dds Pa | Dentist | 625 Constitution Drive, Sumter, SC 29154 | 2009-10-07 |
| 1912146523 | Sarah E Pope | Behavioral Analyst | 2580 Lindo Court, Sumter, SC 29154 | 2009-02-05 |
| Find all providers in zip 29154 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173555 | Amy Kelly | Nurse Practitioner | 115 N Sumter St Ste 300, Sumter, SC 29150-4967 | 2020-08-05 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1285899146 | Elizabeth Ann Vandevelde | Nurse Practitioner | 129 North Washington, Tuomey Healthcare System, Sumter, SC 29152 | 2008-07-21 |
| 1326000837 | Deborah Lee Struchen | Nurse Practitioner | 625 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-04-03 |
| 1558991711 | Jamie Solaine Shorter | Nurse Practitioner | 115 N Sumter St, Sumter, SC 29150-4972 | 2020-01-16 |
| 1033612627 | Megan Crandall Lybrand | Nurse Practitioner | 129 N Washington St, Sumter, SC 29150 | 2018-03-09 |
| 1679951990 | Shannon Cornell | Nurse Practitioner | 115 N Sumter St Ste 410, Sumter, SC 29150-4969 | 2015-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898038 | Latoya Gibson | Nurse Practitioner | 48 Centennial Way, Greenville, SC 29605-4662 | 2020-10-12 |
| 1003413469 | South Carolina Provider Services | Nurse Practitioner | 413 Wildflower Rd, Easley, SC 29642-8642 | 2020-10-07 |
| 1427696475 | Porscha Rush | Nurse Practitioner | 1040 Frye Rd, Galivants Ferry, SC 29544-8018 | 2019-12-19 |
| 1306483011 | Julie Marie Sim | Nurse Practitioner | 35 Bill Fries Dr Bldg F, Hilton Head Island, SC 29926-2731 | 2019-12-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1396225769 | Kristin Claude | Nurse Practitioner | 421 Se Main St Ste 100, Simpsonville, SC 29681-2697 | 2018-08-15 |
| 1376031732 | Migina Anica Timpson | Nurse Practitioner | 317 Saint Francis Dr Ste 220, Greenville, SC 29601-3976 | 2018-05-01 |
| 1932601903 | Jamie Andrews Odom | Nurse Practitioner | 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 | 2018-03-06 |
| 1912406026 | Darrell Quick | Nurse Practitioner | 2145 Carriage Place Dr, Florence, SC 29505-6865 | 2018-02-04 |
| 1518473115 | Takeela Kinard | Nurse Practitioner | 1842 St Michaels Rd, Columbia, SC 29210-6140 | 2017-12-18 |
| Find all providers with the same taxonomy | ||||
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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.