KELLY JO CHILDERS (NPI# 1871148528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871148528 |
Entity Type | Individual |
Full Name | KELLY JO CHILDERS |
Credential | RN |
Practice Address |
1010 Devinney Rd York SC 29745-2127 |
Mailing Address |
1475 East Liberty Street P.o. Box 770 York SC 29745-0770 |
Practice Telephone | 8036846159 |
Practice Fax Number | 8036841916 |
Mailing Telephone | 8036841905 |
Mailing Fax Number | 8036841907 |
Enumeration Date | 2019-08-08 |
Last Update Date | 2019-08-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0200X |
Registered Nurse Specialization: School |
205860 | SC | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | BOARD OF NURSING | 205860 | 01 |
Street Address |
1010 DEVINNEY RD |
City | YORK |
State | SC |
Zip Code | 29745-2127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982218244 | Amanda Sue Hardy | Massage Therapist | Amanda Hardy, 423 Kelly Rd, York, SC 29745 | 2020-09-03 |
1891290573 | Deborah Len Carnes | Pharmacist | 1007 Creekside Medical Dr, York, SC 29745 | 2018-03-26 |
1316313810 | Fc Midlands York, LLC | Assisted Living Facility | 40 Ross Cannon Street, York, SC 29745 | 2015-08-19 |
1922300508 | Walgreens Pharmacy | Pharmacist | 887 East Liberty Street, York, SC 29745 | 2010-12-02 |
1649599747 | Sherita Featherstone Davis | Counselor | 234 Kings Mountain Road, York, SC 29745 | 2010-05-28 |
1306099312 | Pmc Physician Network, L.L.C. | Family Medicine | 1795 Devinney Rd, York, SC 29745 | 2008-11-04 |
1215077433 | Alfred Casburn Johnson Jr. | Dentist | 1306 Old Fairhope Ct, York, SC 29745 | 2007-02-07 |
1104994938 | Ph & F Inc | Pharmacy | 1007 Creekside Medical Drive, York, SC 29745 | 2006-12-01 |
1407935315 | Nora Sue Roy | Social Worker | 212 East Jefferson St, York, SC 29745 | 2006-11-02 |
1508963927 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1440 Alexander Love Highway, York, SC 29745 | 2006-09-20 |
Find all providers in zip 29745 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740836139 | Kellie Elizabeth Baker | Registered Nurse | 1475 E Liberty St, York, SC 29745-6440 | 2019-08-13 |
1770917148 | Dale Ferguson Smarr | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
1568907079 | Callie Clark Billings | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2016-12-20 |
1013341239 | Harriett Shuler Kinsey | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-23 |
1023442241 | Elizabeth Broadbent Matthews | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-23 |
1366876740 | Cheri S. Flanagan | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
1194159566 | Melanie Jones Myers | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
1558795922 | Helene H Neely | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
1538593900 | Crystal S Nichols | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
1902230386 | Jessica Harshaw Faulkner | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
Find all providers in YORK |
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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.