AUDREY RAVENELL (NPI# 1861894610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861894610 |
| Entity Type | Individual |
| Full Name | AUDREY RAVENELL |
| Practice Address |
5060 Dorchester Rd North Charleston SC 29418-5603 |
| Practice Telephone | 8432259053 |
| Mailing Telephone | 8432259053 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
32402 | SC | Other Service Providers |
| Street Address |
5060 DORCHESTER RD |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29418-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241620 | Emillie Mckenzie Engram | Counselor | 5060 Dorchester Rd, North Charleston, SC 29418-5603 | 2017-08-16 |
| 1548667595 | Mary Ann Gallagher | Counselor | 5060 Dorchester Rd, Suite 200, North Charleston, SC 29418-5603 | 2014-11-19 |
| 1033516067 | Mental Health America of Sc | Community/Behavioral Health | 5060 Dorchester Rd, Suite 200, North Charleston, SC 29418-5603 | 2014-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
| 1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
| 1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| Find all providers in zip 29418 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839101 | Tierra S Green | Specialist | 2702 W Surrey Dr, North Charleston, SC 29405-5513 | 2020-07-27 |
| 1033766746 | April Tolbert | Specialist | 5101 Ashley Phosphate Rd Ste 113, North Charleston, SC 29418-2826 | 2019-08-19 |
| 1053978270 | Tyehimba Salim Grant Amar Bey | Specialist | 4591 Dorchester Rd, North Charleston, SC 29405-6846 | 2019-05-22 |
| 1699233254 | Tierra Miller | Specialist | 4135 Rivers Ave Ste A, North Charleston, SC 29405-6633 | 2019-03-03 |
| 1912386251 | Nykeshia Monique Footman | Specialist | 5837 Dorchester Rd, North Charleston, SC 29418-5301 | 2015-05-19 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1164033742 | Antonio Lamar Rivers | Specialist | 2702 W Surrey Dr, North Charleston, SC 29405-5513 | 2020-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212583 | Morcia K Bradley | Specialist | 6800 Shakespeare Rd Ste D, Columbia, SC 29223-7512 | 2020-10-16 |
| 1306464532 | Joanna Allen-gibbs II | Specialist | 6340 Nakia Dr, Rembert, SC 29128-8820 | 2020-07-14 |
| 1316563877 | Stephanie D. Hamilton | Specialist | 37 Willis St S, Yemassee, SC 29945-2420 | 2020-06-21 |
| 1851927750 | Sharika D Harley | Specialist | 1572 Sam Rittenberg Blvd, Charleston, SC 29407-4105 | 2020-03-23 |
| 1629618251 | Keatley Miller | Specialist | 800 John B White Blvd, Spartanburg, SC 29306-4043 | 2020-01-12 |
| 1821636184 | Arkeem Green | Specialist | 215 Pine Shadow Dr, Goose Creek, SC 29445-4662 | 2019-12-18 |
| 1942848643 | Tamara Lynette Waters | Specialist | 10050 Two Notch Rd Ste 7, Columbia, SC 29223-4302 | 2019-12-13 |
| 1871130690 | Tonya Haynes Brown | Specialist | 1224 Broad River Rd, Columbia, SC 29210-7619 | 2019-12-01 |
| 1043855976 | Changes Styling Salon | Specialist | 1256 W Main St, Dillon, SC 29536-7926 | 2019-11-14 |
| 1508409897 | Tiana Tylei Goodman-walker | Specialist | 1825 Saint Julian Pl Apt 9b, Columbia, SC 29204-2483 | 2019-10-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29418 |
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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.