GRACIE RAE SIMON (NPI# 1710591946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710591946 |
| Entity Type | Individual |
| Full Name | GRACIE RAE SIMON |
| Credential | NP |
| Practice Address |
772 N Townville St Seneca SC 29678-2645 |
| Mailing Address |
300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 |
| Practice Telephone | 8648869300 |
| Mailing Telephone | 8645228617 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 227277 | SC | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24288 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
772 N TOWNVILLE ST |
| City | SENECA |
| State | SC |
| Zip Code | 29678-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538550082 | Mark Anthony Hendricks | Nurse Practitioner | 772 N Townville St, Seneca, SC 29678-2645 | 2015-02-05 |
| 1780154740 | Jacquelyn M Pruitt | Nurse Practitioner | 772 N Townville St, Seneca, SC 29678-2645 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
| 1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
| 1497233415 | Southern Telco, Inc. | Emergency Response System Companies | 15879 Wells Hwy, Seneca, SC 29678 | 2018-08-01 |
| 1598252199 | Chana Ashlan Land | Counselor | 530 By Pass 123 Ste E2, Seneca, SC 29678 | 2018-04-18 |
| 1679972632 | Anesthesia At Synergy Spine | Nurse Anesthetist, Certified Registered | 457 E Bypass 123, Seneca, SC 29678 | 2014-08-15 |
| 1548683303 | Carolina Counseling Professionals, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr, Seneca, SC 29678 | 2014-01-30 |
| 1144658170 | Changing Strides Counseling, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr., Seneca, SC 29678 | 2013-10-30 |
| 1417383811 | Martha Williams | Registered Nurse | 101 Honeybee Ln, Seneca, SC 29678 | 2013-09-18 |
| 1073867404 | The Upstate's Golden Corner of Psychiatry | Psychiatry & Neurology | 450 B Bypass 123, Seneca, SC 29678 | 2012-11-07 |
| 1043569916 | Amanda Lee Simpson | Pharmacist | 105 Foothills Center Drive, West Union, SC 29678 | 2012-09-06 |
| Find all providers in zip 29678 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100463 | Elizabeth Louise Philmon | Nurse Practitioner | 111 Carter Park Dr # A, Seneca, SC 29678-1152 | 2020-06-29 |
| 1073150827 | Melissa Leigh Merritt | Nurse Practitioner | 112 Surgical Blvd Ste A, Seneca, SC 29672-6654 | 2019-11-27 |
| 1417501479 | Victoria G Schiazza | Nurse Practitioner | 109 Carter Park Dr Ste 3a, Seneca, SC 29678-1152 | 2019-07-29 |
| 1033682273 | Ruthy Mclaughlin | Nurse Practitioner | 3292 Pa-257, Seneca, PA 16346 | 2019-01-10 |
| 1225543242 | Ronande Berryl Creebsburg | Nurse Practitioner | 1510 Blue Ridge Blvd Ste 105, Seneca, SC 29672-6684 | 2017-12-13 |
| 1538550082 | Mark Anthony Hendricks | Nurse Practitioner | 772 N Townville St, Seneca, SC 29678-2645 | 2015-02-05 |
| 1003243056 | Ruth Anne Etter | Nurse Practitioner | 366 Market St, Seneca, SC 29678-0926 | 2013-10-06 |
| 1669804647 | Elmer Gerald Brown Jr. | Nurse Practitioner | 109 Carter Park Dr Ste 3-a, Seneca, SC 29678-1152 | 2013-08-01 |
| 1639433287 | Tawny Jenna Mcintosh | Nurse Practitioner | 15545 Wells Hwy, Seneca, SC 29678-1664 | 2012-06-28 |
| 1619947975 | Lisa B Purcell | Nurse Practitioner | 135 Professional Park Drive, Suite B, Seneca, SC 29678-2558 | 2006-01-26 |
| Find all providers in SENECA | ||||
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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.