MS. AMANDA JEAN RUBY (NPI# 1598217457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598217457 |
Entity Type | Individual |
Full Name | MS. AMANDA JEAN RUBY |
Credential | NP |
Practice Address |
3864 Renee Dr Myrtle Beach SC 29579-4108 |
Mailing Address |
Po Box 51827 Myrtle Beach SC 29579-0031 |
Practice Telephone | 8433532111 |
Practice Fax Number | 8436284326 |
Mailing Telephone | 8433532111 |
Enumeration Date | 2016-10-26 |
Last Update Date | 2020-10-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
COA.18978-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3864 RENEE DR |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29579-4108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
Find all providers in zip 29579 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043205289 | Kathryn A O'donald | Nurse Practitioner | 170 Village Center Blvd, Myrtle Beach, SC 29579-3400 | 2005-09-14 |
1134208556 | Karen Thompson | Nurse Practitioner | 170 Village Center Blvd, Myrtle Beach, SC 29579 | 2006-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659919710 | Christy Marie South | Nurse Practitioner | 81 Pointe Cir Ste D, Greenville, SC 29615-3505 | 2019-12-19 |
1174920847 | Tyra L Taylor | Nurse Practitioner | 2 Maple Tree Ct, Bon Secours Ob-gyn, Greenville, SC 29615-4068 | 2014-11-24 |
1407199060 | Victoria Lynn Brassfield | Nurse Practitioner | 1220 Hospital Dr Ste A, Mount Pleasant, SC 29464-3678 | 2013-04-02 |
1578825444 | Miriam Faith Criswell | Nurse Practitioner | 727 Se Main St Ste 120, Simpsonville, SC 29681 | 2012-06-15 |
1669747341 | Michaela Buchanan French | Nurse Practitioner | 11 Park Creek Drive, Greenville, SC 29605 | 2012-03-14 |
1770865511 | Amanda C Naramore | Nurse Practitioner | 343 Old South Way, Mt Pleasant, SC 29464-7854 | 2011-09-19 |
1487961876 | Isis Lucia Hart | Nurse Practitioner | 25 Hospital Center Blvd Ste 305, Hilton Head Island, SC 29926-2739 | 2010-09-07 |
1952432882 | Billie S Buchanan | Nurse Practitioner | 202 Victoria St, Greer, SC 29651-3436 | 2007-03-09 |
1578602546 | Beverly I Huegel | Nurse Practitioner | 4311 Hard Scrabble Rd, Columbia, SC 29229-9422 | 2007-02-06 |
1174628796 | Linda L Harper | Nurse Practitioner | 8016 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-09-14 |
Find all providers with the same taxonomy |
City | MYRTLE BEACH |
Zip Code | 29579 |
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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.