MS. BROOKE WEBSTER FUENTES (NPI# 1649564063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649564063 |
| Entity Type | Individual |
| Full Name | MS. BROOKE WEBSTER FUENTES |
| Other Name | MS. BROOKE NICOLE WEBSTER |
| Credential | PA-C |
| Practice Address |
300 E Blackstock Road Suite E Spartanburg SC 29301 |
| Practice Telephone | 8642859861 |
| Practice Fax Number | 8645958281 |
| Mailing Telephone | 8642859861 |
| Mailing Fax Number | 8645958281 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2016-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1790 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110003582 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1484PA | 05 |
| Street Address |
300 E BLACKSTOCK ROAD SUITE E |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
| 1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
| 1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
| 1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
| 1134432099 | Donald Jensen Turner | Dentist | 365 East Blackstock Rd, Suite B, Spartanburg, SC 29301 | 2010-07-21 |
| Find all providers in zip 29301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789225 | Katherine Anderson Andrews | Physician Assistant | 760 Glenridge Rd, Spartanburg, SC 29301-5308 | 2018-11-18 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1730415100 | Amanda M Elder | Physician Assistant | 100 E Wood St Ste 401, Spartanburg, SC 29303-3049 | 2009-10-20 |
| 1275688772 | Cecilia S. Cannon | Physician Assistant | 1762 E Main St, Spartanburg, SC 29307-2231 | 2007-01-24 |
| 1255372637 | Carlee Dee Bright | Physician Assistant | 1650 Skylyn Dr Ste 210, Spartanburg, SC 29307-1069 | 2006-06-09 |
| 1750362182 | Christel Ann Schweizer | Physician Assistant | 1776 Skylyn Dr, Spartanburg, SC 29307-1045 | 2005-11-11 |
| 1619508637 | Caitlin Elizabeth Mcgougan | Physician Assistant | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-01-29 |
| 1255970398 | Alissa Reddy | Physician Assistant | 101 E Wood St Ste 401, Spartanburg, SC 29303-3040 | 2020-01-06 |
| 1881233922 | Jordan Garvey | Physician Assistant | 101 E Wood St Ste 401, Spartanburg, SC 29303-3040 | 2020-01-06 |
| 1568005023 | Nicole Leanne Owens | Physician Assistant | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2019-10-28 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29301 |
Please comment or provide details below to improve the information on MS. BROOKE WEBSTER FUENTES.
| 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.