THE INTEGRATED WELLNESS CENTER, LLC (NPI# 1831708296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831708296 |
Entity Type | Organization |
Organization Name | THE INTEGRATED WELLNESS CENTER, LLC |
Practice Address |
738 W Liberty St Ste B Sumter SC 29150-4745 |
Mailing Address |
Po Box 3290 Sumter SC 29151-3290 |
Practice Telephone | 8033165091 |
Enumeration Date | 2020-07-30 |
Last Update Date | 2020-07-30 |
Authorized Official Name | FELICIA HEYWARD (OWNER) |
Authorized Official Telephone | 8033165091 |
Authorized Official Credential | FNP-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
738 W LIBERTY ST STE B |
City | SUMTER |
State | SC |
Zip Code | 29150-4745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
Find all providers in zip 29150 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144831843 | Paula Antoinette Dyer | Nurse Practitioner | 1804 Mallory Dr, Sumter, SC 29154-8900 | 2020-08-14 |
1679132997 | Roselyn E Hobbs | Nurse Practitioner | 2458 Derwent Dr, Sumter, SC 29154-1054 | 2019-06-10 |
1679037410 | Kurtis Rodine | Nurse Practitioner | 319 N. Main St., Sumter, SC 29150-2664 | 2019-01-25 |
1659845782 | Carmen Ridgeway Butler | Nurse Practitioner | 115 N Sumter St Ste 305, Sumter, SC 29150-4967 | 2019-01-11 |
1700391430 | Barbara Jean Epps | Nurse Practitioner | 26 Wesmark Ct, Sumter, SC 29150-1996 | 2017-12-04 |
1548703804 | Lorie P Hodge | Nurse Practitioner | 1810 Lirope Way, Sumter, SC 29154-1687 | 2016-11-18 |
1255700175 | Sherry Elder | Nurse Practitioner | 2065 Mccrays Mill Road, Ltc Health Solutions, Sumter, SC 29154 | 2015-09-21 |
1821258435 | Celia M Herring | Nurse Practitioner | 649 W Wesmark Blvd, Sumter, SC 29150-1900 | 2008-06-17 |
1801078662 | Samuel Wachter | Nurse Practitioner | 217 North Purdy St, Sumter, SC 29150 | 2007-12-03 |
1720173172 | Deanna Fiegel Bevan | Nurse Practitioner | Sumter County Health Department, 105 North Magnolia St, Sumter, SC 29150 | 2006-10-03 |
Find all providers in SUMTER |
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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.