LAURA B WILLARD (NPI# 1700314754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700314754 |
| Entity Type | Individual |
| Full Name | LAURA B WILLARD |
| Credential | AGACNP-BC |
| Practice Address |
1083 Boiling Springs Rd Spartanburg SC 29303-2248 |
| Practice Telephone | (864) 583-8647 |
| Mailing Telephone | 8645838647 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
21035 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
21035 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC MEDICAL LICENSE | 21035 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1538487996 | Laura Willard | Physical Therapist | 1255 Templeton Hills Rd, Templeton, CA 93465-9429 | 2010-05-11 |
| 1598834848 | Laura R Willard | Physical Therapist | 2931 Ridge Rd Ste 115, Rockwall, TX 75032-6669 | 2006-11-08 |
| 1629382320 | Laura Anne Willard | Social Worker | 237 26th St, Ogden, UT 84401-3105 | 2010-08-05 |
| 1538390406 | Laura Elisabeth Willard | Psychologist | 2525 Camino Del Rio S, Ste 205, San Diego, CA 92108-3719 | 2009-07-27 |
| 1861632143 | Laura Minnette Willard | Physician Assistant | 133 Brookline Ave, Boston, MA 02215 | 2009-02-26 |
| Street Address |
1083 BOILING SPRINGS RD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972560225 | Cardiology Consultants Pa | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2298 | 2006-04-28 |
| 1184195380 | Angela G Foster | Nurse Practitioner | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2298 | 2018-12-16 |
| 1275992968 | Melanie Burnett | Nurse Practitioner | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2016-02-23 |
| 1477935468 | Elizabeth B Greene | Nurse Practitioner | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2015-06-25 |
| 1073807541 | Michael Patrick O'quinn | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2298 | 2011-06-02 |
| 1336439074 | Sebastiano Antonio Virgadamo | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2011-04-14 |
| 1588806772 | Dianna Laws Jones | Nurse Practitioner | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2009-04-02 |
| 1811135908 | Jeff Matthew Berry | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2009-01-27 |
| 1235388224 | Mathew S Kalapurakal | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2008-09-15 |
| 1033159678 | David G Ike | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508839739 | Vanessa Thompson | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2006-02-08 |
| 1477935468 | Elizabeth B Greene | Nurse Practitioner | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2015-06-25 |
| 1336111590 | Spartanburg Regional Healthcare System | Nurse Practitioner | 120 Heywood Ave, Suite 300, Spartanburg, SC 29302-1210 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043152 | Lorenzo Ford | Nurse Practitioner | 20 Pioneer Ct, Sumter, SC 29150-9559 | 2020-08-13 |
| 1407484041 | Vistina Metts Johnson | Nurse Practitioner | 121 Executive Center Dr Ste 131, Columbia, SC 29210-8492 | 2020-03-30 |
| 1154969012 | William R. Andrews | Nurse Practitioner | 1516 Old Trolley Rd Ste 101, Summerville, SC 29485-8345 | 2019-12-11 |
| 1265078570 | Paula Nicole Allen | Nurse Practitioner | 133 Beaver Dam Rd, Columbia, SC 29223-3101 | 2019-11-21 |
| 1306497557 | Dina Martin | Nurse Practitioner | 171 Monroe Ln, Lexington, SC 29072-3904 | 2019-09-27 |
| 1053801720 | Kristin Marie Scarborough | Nurse Practitioner | 1470 Tobias Gadson Blvd Ste 203, Charleston, SC 29407-4925 | 2018-05-17 |
| 1922511054 | Anne Louise Grogan-hanford | Nurse Practitioner | 1317 Quail Vly W, Columbia, SC 29212-1554 | 2017-11-11 |
| 1972941821 | Jeanne Cameron Gonzalez | Nurse Practitioner | 504 Huntington Rd, Greenville, SC 29615-4212 | 2013-06-12 |
| 1861676942 | Mary Ellen Sullivan | Nurse Practitioner | 304 E Market St, Agape Physicians Care, Bennettsville, SC 29512-3137 | 2007-12-25 |
| 1053384537 | Robin H Starr | Nurse Practitioner | 603 Chestnut Rd, Myrtle Beach, SC 29572-5503 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on LAURA B WILLARD.
| 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.