KENNA COURTNEY STEPHANIE ALTOBELLO (NPI# 1851716708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851716708 |
Entity Type | Individual |
Full Name | KENNA COURTNEY STEPHANIE ALTOBELLO |
Credential | APN |
Practice Address |
1850 Laurel St Columbia SC 29201-2627 |
Mailing Address |
Po Box 402145 Atlanta GA 30384-2145 |
Practice Telephone | 8032563400 |
Mailing Telephone | 8032967320 |
Mailing Fax Number | 8032967330 |
Enumeration Date | 2014-03-03 |
Last Update Date | 2017-12-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 041323580 | IL | Nursing Service Providers |
Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
18805 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | NP4873 | 05 |
Street Address |
1850 LAUREL ST |
City | COLUMBIA |
State | SC |
Zip Code | 29201-2627 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972509925 | Donen Davis | Plastic Surgery | 1850 Laurel St, Ste B, Columbia, SC 29201-2627 | 2005-06-23 |
1619468774 | Palmetto Health - University of South Carolina Medical Group | Surgery | 1850 Laurel St, Columbia, SC 29201-2627 | 2018-05-24 |
1467971473 | Jillian Clinton | Dietitian, Registered | 1850 Laurel St, Columbia, SC 29201-2627 | 2017-09-12 |
1508094871 | Palmetto Health | Surgery | 1850 Laurel St, Suite 1a, Columbia, SC 29201-2627 | 2009-06-25 |
1144467051 | Palmetto Health | Surgery | 1850 Laurel St, Columbia, SC 29201-2627 | 2009-01-14 |
1699953331 | Donen Davis Plastic Surgery, LLC | Plastic Surgery | 1850 Laurel St, Suite B, Columbia, SC 29201-2627 | 2008-02-05 |
1750488490 | Sandi R. Vanhoosier | Physician Assistant | 1850 Laurel St, Columbia, SC 29201 | 2006-09-17 |
1770590911 | Michele Lynn O'hara | Nurse Practitioner | 1850 Laurel St, Columbia, SC 29201 | 2006-08-01 |
1447228473 | David Edgar Tribble | Surgery | 1850 Laurel St, Columbia, SC 29201-2627 | 2006-03-08 |
1831177377 | Harris Hartwell Parker IIi | Surgery | 1850 Laurel St, Columbia, SC 29201 | 2006-01-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
Find all providers in zip 29201 |
Taxonomy Code | 364SA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548711609 | Jackie Dee Faber | Clinical Nurse Specialist | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2016-10-24 |
1558811760 | Andrea Theresa Kuensting | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2016-10-12 |
1811381346 | Cynthia Ellen Feutz | Clinical Nurse Specialist | 1 Hospital Dr, Dc 034.00, C4037, Columbia, MO 65212-1000 | 2015-03-23 |
1073901682 | Nadezhda Chernookaya | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-1000 | 2015-01-05 |
1295169241 | Tolvalyn Shinia Dennison | Clinical Nurse Specialist | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2013-08-27 |
1174879464 | Laura Lisa Billings | Clinical Nurse Specialist | 1100 Virginia Avenue, Columbia, MO 65212-0001 | 2012-07-24 |
1548565666 | Melissa Anne Pickett | Clinical Nurse Specialist | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2011-01-20 |
1851614838 | Connie Johanna Kaiser | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2010-03-05 |
1053345736 | Catherine M Ashbaugh | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942579347 | Angela Hebert Hayden Np | Clinical Nurse Specialist | 400-4 College Ave, Suite 3, Clemson, SC 29631-2925 | 2011-12-14 |
1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
1568604338 | Shannon Bright Smith | Clinical Nurse Specialist | 400 Magnolia St # 135a, Orangeburg, SC 29115-6815 | 2009-03-25 |
1790967131 | Pamela Bearden | Clinical Nurse Specialist | 160 Rutledge Ave, Charleston, SC 29403-5821 | 2007-11-28 |
1699112425 | Kelly Marie Pabst | Clinical Nurse Specialist | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 | 2013-06-03 |
1922362052 | Melissa Renee Bouassaba | Clinical Nurse Specialist | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2012-07-03 |
1861702532 | Amanda K Krutke | Clinical Nurse Specialist | 107 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2010-10-15 |
1164668224 | Christine M Moffett | Clinical Nurse Specialist | 109 Bee St, Charleston, SC 29401-5703 | 2008-12-19 |
1831213545 | Donna D Burroughs | Clinical Nurse Specialist | 100 Healthy Way, Suite 1210, Anderson, SC 29621-7915 | 2007-03-19 |
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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.