LARONDA BODDIE (NPI# 1720637671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720637671 |
| Entity Type | Individual |
| Full Name | LARONDA BODDIE |
| Practice Address |
1094 Moss Grove Dr Moncks Corner SC 29461-7454 |
| Practice Telephone | 8437080342 |
| Mailing Telephone | 8437080342 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
1094 MOSS GROVE DR |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-7454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521236 | Lasonya Eady | Technician | 6 Wright Pl, Hilton Head, SC 29926-1291 | 2020-09-04 |
| 1891304549 | Emma Lorraine Richardson | Technician | 1497 Woodview Ln, Charleston, SC 29412-8137 | 2020-07-29 |
| 1609494574 | Pamela Mae Byrd | Technician | 1526 Brookstone Dr, Graniteville, SC 29829-3903 | 2020-07-08 |
| 1780206847 | Mary Kiele | Technician | 1131 Woodrow Ln, Loris, SC 29569-6062 | 2020-05-12 |
| 1841810504 | Jaunett James | Technician | 181 Training Rd, Eutawville, SC 29048-9133 | 2020-04-23 |
| 1407485055 | Nancy Bloodsworth | Technician | 5364 Birdie Ln, Hollywood, SC 29449-6292 | 2020-04-06 |
| 1891323580 | Cynthia Phillips | Technician | 1411 Orange Cir, Florence, SC 29506-6315 | 2020-03-30 |
| 1417582099 | Cheryl Ducos | Technician | 230 Lakeview Cir, Woodruff, SC 29388-9336 | 2020-03-04 |
| 1851926422 | Linda Powers | Technician | 2857 Old Charleston Rd, Gilbert, SC 29054-8911 | 2020-03-04 |
| 1053945915 | Daisy Mocks | Technician | 640 Toms Creek Rd, Hopkins, SC 29061-9200 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
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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.