KRISTINA ALLANE BRISTOW


Address: 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815
Phone: 8037444940

KRISTINA ALLANE BRISTOW (NPI# 1700345303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700345303
Entity Type Individual
Full Name KRISTINA ALLANE BRISTOW
Credential FNP-BC
Practice Address 2728 Sunset Blvd Ste 300
West Columbia
SC 29169-4815
Mailing Address Po Box 6069
West Columbia
SC 29171-6069
Practice Telephone 8037444940
Practice Fax Number 8037444938
Enumeration Date 2019-03-14
Last Update Date 2020-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
22710 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC NP5841 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
300 Palmetto Health Pkwy Ste 400, Columbia, SC 292121764 8034343800
6 Richland Medical Park Dr, Columbia, SC 292036864 8034347000
90 Summit Centre Dr, Columbia, SC 292296926 8037444940 8037444938

Office Location

Street Address 2728 SUNSET BLVD STE 300
City WEST COLUMBIA
State SC
Zip Code 29169-4815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881667897 Mitchell Wells Jacocks Internal Medicine 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2006-02-09
1083211312 Lexington Health Inc Internal Medicine 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2020-10-09
1770116477 Jamie L Odom Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2020-02-20
1033742531 Keelin Jamaal Golden-maldonado Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2020-02-13
1912544198 Casey Hendrix Purcell Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2019-12-05
1588200661 Kaitlyn A Keenan Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2019-11-22
1770128613 Lisa Mondo Davis Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2019-11-14
1265077622 Rachel S Fogarty Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2019-11-08
1275093155 Nyesha Nicole Hall Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2019-03-25
1609347129 Jessica Jems Oing Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2018-12-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457960726 Jerry Scott Oreilly Physical Therapy Assistant 100 Dreher Rd, Suite 100, West Columbia, SC 29169 2020-07-23
1134759921 A&m Medical, LLC Durable Medical Equipment & Medical Supplies 1053 Sunset Boulevard, West Columbia, SC 29169 2020-01-21
1750946067 First Physical Therapy, LLC Clinic/Center 100 Dreher Rd., Suite 100, West Columbia, SC 29169 2019-05-02
1295217545 Tynaka Kwans Wilson Nurse Practitioner Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 2018-09-04
1588183826 Kimberly Jane Jennings Registered Nurse 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 2017-09-19
1164943213 Jacob Luke Wayland Emergency Medicine Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 2017-06-29
1740721232 Heather Detwiler Physical Therapy Assistant 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 2017-03-16
1588110761 Virginia I Hall Nurse Practitioner 2720 Susnet Blvd, West Columbia, SC 29169 2016-08-29
1215395744 Stacey Khalifa Social Worker 160 Medical Cir Fl 1, West Columbia, SC 29169 2016-01-28
1407252331 Sandy Frye Boone Counselor 2318 Sunset Blvd # 2a, West Columbia, SC 29169 2014-11-04
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932601903 Jamie Andrews Odom Nurse Practitioner 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 2018-03-06
1336524115 Mary C Ward Nurse Practitioner 3316 Plattsprings Rd, West Columbia, SC 29170 2015-07-22
1205072808 Gerlanda Derr Nurse Practitioner 1053 Center St, West Columbia, SC 29169-6749 2009-01-02
1891306205 Sarah Peden Nurse Practitioner 222 E Medical Ln Ste 400, West Columbia, SC 29169-4848 2020-08-11
1356969778 Tiffany Ann Christian Nurse Practitioner 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 2020-07-13
1770116477 Jamie L Odom Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2020-02-20
1033742531 Keelin Jamaal Golden-maldonado Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2020-02-13
1912544198 Casey Hendrix Purcell Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2019-12-05
1588200661 Kaitlyn A Keenan Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2019-11-22
1770128613 Lisa Mondo Davis Nurse Practitioner 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 2019-11-14
Find all providers in WEST COLUMBIA

Competitor

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City WEST COLUMBIA
Zip Code 29169

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Dataset Information

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.

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