MRS. NICOLE D JENNINGS (NPI# 1700449964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700449964 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE D JENNINGS |
| Credential | HAIR LOSS SPECIALIST |
| Practice Address |
920 Saint Andrews Rd Ste 2&3 Columbia SC 29210-5816 |
| Mailing Address |
5 Trotter Ct Lugoff SC 29078-8734 |
| Practice Telephone | 8033124850 |
| Mailing Telephone | 8033124850 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881179349 | Nicole Olivia Jennings | Counselor | 1225-1255 Whitehorse Mercerville Rd, Building B Suite 504, Hamilton, NJ 08619 | 2018-10-01 |
| 1548744253 | Nicole Jennings | Marriage & Family Therapist | 300 W Douglas Ave Ste 305, Wichita, KS 67202-2907 | 2018-09-18 |
| 1174970024 | Nicole Jennings | Specialist/Technologist | 3420 Caldwell Ridge Pkwy, Charlotte, NC 28213-2124 | 2016-05-20 |
| 1659658409 | Nicole Renee Jennings | Nurse's Aide | 356 Effington Ln, Columbus, OH 43207-5337 | 2011-11-08 |
| 1730290990 | Nicole Blackwell Jennings | Internal Medicine | 1308 Paluxy Rd Ste 300, Granbury, TX 76048-5689 | 2006-08-31 |
| 1801881891 | Nicole Michelle Jennings | Internal Medicine | 116 W Main St, Henderson, TN 38340-2231 | 2005-09-15 |
| Street Address |
920 SAINT ANDREWS RD STE 2&3 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-5816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723947 | Jonica D Richardson | Prosthetist | 417 Grand National Ln, Elgin, SC 29045-7113 | 2020-06-04 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1013465756 | Marquetta Breslin | Prosthetist | 125 Salt Meadow Ln, Summerville, SC 29483-5334 | 2016-09-12 |
| 1457721839 | Richard Goodman II | Prosthetist | 386 Rutt Ln, Goose Creek, SC 29445-7808 | 2015-09-29 |
| 1699153775 | Lisa Burks | Prosthetist | 4026 Ashley Phosphate Rd, Charleston, SC 29418-8547 | 2015-05-11 |
| 1548308695 | Alvin W. Pickering | Prosthetist | 230 Elliott St, Orangeburg, SC 29115-6022 | 2007-02-01 |
| 1114486529 | Clarissa Rose | Prosthetist | 950 W Faris Rd, Greenville, SC 29605-4255 | 2019-03-15 |
| 1275807174 | Brian Kaluf | Prosthetist | 10 Enterprise Blvd, Suite 206, Greenville, SC 29615-6301 | 2012-02-24 |
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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.