MS. STEPHANIE MARIE BLACKMON (NPI# 1659992600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659992600 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE MARIE BLACKMON |
| Credential | RN |
| Practice Address |
711 S Parsonage St Bennettsville SC 29512-4423 |
| Mailing Address |
Po Box 435 Society Hill SC 29593-0435 |
| Practice Telephone | 8434796801 |
| Mailing Telephone | 8436765865 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
228133 | SC | Nursing Service Providers |
| Street Address |
711 S PARSONAGE ST |
| City | BENNETTSVILLE |
| State | SC |
| Zip Code | 29512-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184793929 | State of South Carolina | Public Health or Welfare | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2006-11-07 |
| 1518386341 | Maye Malachi | Registered Nurse | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2014-04-09 |
| 1538588363 | Pamela Grant | Registered Nurse | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2014-04-09 |
| 1568880409 | Sara Blackman | Licensed Practical Nurse | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2014-03-28 |
| 1619393485 | Tam Weatherly | Registered Nurse | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2014-03-17 |
| 1427474295 | Carolyn Rogers | Registered Nurse | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2014-03-17 |
| 1245656198 | Pamela Burns | Registered Nurse | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841371 | Anna Paige Paul | Counselor | 1035 Cherau St, Bennettsville, SC 29512 | 2016-06-06 |
| 1821468679 | Kristen Dana Oliver | Social Worker | 1035 Cherow St., Bennettsville, SC 29512 | 2015-10-05 |
| 1285022749 | 3-points Coastal Care,llc | Community/Behavioral Health | 1300 West Main St, Bennettsville, SC 29512 | 2015-01-06 |
| 1437572328 | Terri Cardenas Woodham | Pharmacist | 336 Highway 9 West, Bennettsville, SC 29512 | 2014-01-28 |
| 1851712533 | Amy Kessler | Pharmacist | 336 Hwy 9 West, Bennettsville, SC 29512 | 2013-12-23 |
| 1346677184 | Daniel Louis Lockamy | Counselor | 284 Tatum Rd, Bennettsville, SC 29512 | 2013-10-10 |
| 1164772596 | Melissa Irene Pletan | Pharmacist | 1085 Cottingham Blvd, Ste 3, Bennettsville, SC 29512 | 2012-09-13 |
| 1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
| 1649572710 | Ingram Health Service/manna House.inc | Case Management | 211 N Market Street, Bennettsville, SC 29512 | 2010-11-23 |
| 1952564387 | Gregory Wayne Alford | Community Health Worker | 610 State Street Ext, Bennettsville, SC 29512 | 2008-07-07 |
| Find all providers in zip 29512 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518386341 | Maye Malachi | Registered Nurse | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2014-04-09 |
| 1538588363 | Pamela Grant | Registered Nurse | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2014-04-09 |
| 1427474295 | Carolyn Rogers | Registered Nurse | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2014-03-17 |
| 1245656198 | Pamela Burns | Registered Nurse | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935153 | Quinterria Tenicia Wilson | Registered Nurse | 1110 Malone Ferguson Rd, Garnett, SC 29922-5806 | 2020-09-07 |
| 1740806777 | Lynn Turner Mounir | Registered Nurse | 3504 Woodcone Trl, Anderson, SC 29624-4813 | 2020-06-25 |
| 1598381964 | Takasha Blassingame | Registered Nurse | 118 Camden Dr, Piedmont, SC 29673-9227 | 2020-06-22 |
| 1851915292 | Joey Marie Tan | Registered Nurse | 307 Fairview Lake Way, Simpsonville, SC 29680-7151 | 2020-06-02 |
| 1285256842 | Kala Marissa Elamparo | Registered Nurse | 112 Mitford Way, Fountain Inn, SC 29644-2228 | 2020-05-17 |
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1861014698 | Brenda Angelique Baldwin | Registered Nurse | 158 Beverly Cir, Liberty, SC 29657-8933 | 2020-05-14 |
| 1598387656 | Denise Louise Gasper | Registered Nurse | 107b Lee Ln, Florence, SC 29501-6434 | 2020-05-12 |
| 1679195929 | Lena Marie Jones | Registered Nurse | 400 Delphi Dr, Seneca, SC 29672-6725 | 2020-05-09 |
| 1487275913 | Tashara Anderson | Registered Nurse | 107 Old Oak Dr, Greenwood, SC 29649-1331 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | BENNETTSVILLE |
| Zip Code | 29512 |
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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.