KENNA COURTNEY STEPHANIE ALTOBELLO


Address: 1850 Laurel St, Columbia, SC 29201-2627
Phone: 8032563400

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
SC NP4873 05

Office Location

Street Address 1850 LAUREL ST
City COLUMBIA
State SC
Zip Code 29201-2627

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City COLUMBIA
Zip Code 29201

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Dataset Information

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.

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