SARA BRATCHER THACKER (NPI# 1720521917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720521917 |
| Entity Type | Individual |
| Full Name | SARA BRATCHER THACKER |
| Other Name | SARA BRATCHER |
| Credential | APRN |
| Practice Address |
14866 Ocean Hwy Pawleys Island SC 29585-4801 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7722 |
| Practice Telephone | 8432350760 |
| Practice Fax Number | 8432353026 |
| Mailing Telephone | 8436956071 |
| Mailing Fax Number | 8435695879 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2018-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
20600 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP4343 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710195573 | Sara Thacker | Physical Therapy Assistant | 3077 E 98th St, Suite 265, Indianapolis, IN 46280-2940 | 2007-05-17 |
| Street Address |
14866 OCEAN HWY |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521017 | Litchfield Medical Center PC | General Practice | 14866 Ocean Hwy, Pawleys Island, SC 29585-4801 | 2005-07-13 |
| 1760967053 | Palmetto Primary Care Physicians | Family Medicine | 14866 Ocean Hwy, Pawleys Island, SC 29585-4801 | 2018-10-02 |
| 1235579707 | Roper Saint Francis Physicians Network | Internal Medicine | 14866 Ocean Hwy, Pawleys Island, SC 29585 | 2013-06-28 |
| 1104817030 | Benjamin Morrison Duffey | General Practice | 14866 Ocean Hwy, Pawleys Island, SC 29585-4801 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1518437110 | David Patrick Hanley | Home Health | 10698 Ocean Highway, Suite 100, Pawleys Island, SC 29585 | 2018-11-27 |
| 1154860369 | Danielle Olivia Woodley | Nurse Practitioner | 201 Business Center Dr., Pawleys Island, SC 29585 | 2017-02-21 |
| 1992241145 | Nichole Marie Evans | Nurse Practitioner | 10317 Ocean Highway 17 South, Pawleys Island, SC 29585 | 2017-01-11 |
| 1922559152 | Camri K Monaghan | Occupational Therapist | 120 Lakes of Litchfield Dr., Pawleys Island, SC 29585 | 2016-10-24 |
| 1245785666 | Hannah Rebecca Willis Rustin | Dentist | 34 Business Center Dr, Pawleys Island, SC 29585 | 2016-08-16 |
| 1750700894 | Veronica Seitzinger | Social Worker | 49 Pond View Dr, Pawleys Island, SC 29585 | 2014-04-15 |
| 1578813341 | Anne Marie Floyd | Physical Therapist | 120 Lakes At Litchfield Drive, Pawley's Island, SC 29585 | 2012-09-19 |
| 1356612170 | Jean C. Cross | Social Worker | Alston Rd, Pawleys Island, SC 29585 | 2012-01-25 |
| Find all providers in zip 29585 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| 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 |
| 1508839739 | Vanessa Thompson | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2006-02-08 |
| Find all providers with the same taxonomy | ||||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
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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.