FELICIA SQUIRES (NPI# 1578803672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578803672 |
Entity Type | Individual |
Full Name | FELICIA SQUIRES |
Credential | LMT |
Practice Address |
3941 Saint Ives Rd Unit 911 Myrtle Beach SC 29588-1174 |
Practice Telephone | 5187886866 |
Mailing Telephone | 5187886866 |
Enumeration Date | 2013-02-26 |
Last Update Date | 2013-02-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 7097 | SC | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | MASSAGE THERAPY LICENSE | 7097 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730711268 | Felicia Squires | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
Street Address |
3941 SAINT IVES RD UNIT 911 |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29588-1174 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
Find all providers in zip 29588 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457603938 | David Scott Lawrence | Specialist | 514 Alder St, Suite 6, Myrtle Beach, SC 29577-3854 | 2012-10-09 |
1467731406 | Gamal S Boutros Md | Specialist | 605 Briarwood Dr, Suite E, Myrtle Beach, SC 29572-6734 | 2011-08-09 |
1205014990 | Patricia Ann Esposito | Specialist | 7719 N Kings Hwy, Myrtle Beach, SC 29572-3042 | 2008-02-05 |
1881884708 | Lindsey Pritchard Chappell | Specialist | 121 Gateway Rd., Suite B, Myrtle Beach, SC 29526 | 2007-07-26 |
1619904752 | Deborah Cook | Specialist | 3675 Spruce Dr, Myrtle Beach, SC 29577-5005 | 2006-06-26 |
1649245358 | John M Davis | Specialist | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2006-02-17 |
1952385288 | Coastal Cardiovascular Surgery, LLC | Specialist | 933 Medical Cir, Myrtle Beach, SC 29572-4116 | 2005-11-30 |
1740276971 | Amy L King | Specialist | 4378 Oleander Dr, Myrtle Beach, SC 29577 | 2005-09-22 |
1760478242 | Russell Frank Stahl | Specialist | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2005-09-21 |
1467833558 | Jodi Kinkead | Specialist | 1275 21st Ave N, Myrtle Beach, SC 29577-7514 | 2015-06-15 |
Find all providers in MYRTLE BEACH |
City | MYRTLE BEACH |
Zip Code | 29588 |
Please comment or provide details below to improve the information on FELICIA SQUIRES.
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.