CARLA BOYETTE (NPI# 1891213955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891213955 |
| Entity Type | Individual |
| Full Name | CARLA BOYETTE |
| Credential | CTRS |
| Practice Address |
109 Bee Street Charleston SC 29401 |
| Mailing Address |
109 Bee St Charleston SC 29401-5703 |
| Practice Telephone | (843) 577-5011 |
| Mailing Telephone | 8435775011 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 18083 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
109 BEE STREET |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871545517 | Gordon Thompson | Family Medicine | 109 Bee Street, Charleston, SC 29401 | 2006-05-17 |
| 1730638412 | Mary Valvano | Registered Nurse | 109 Bee Street, Ralph H. Johnson Va Medical Center, Charleston, SC 29401-5703 | 2016-09-23 |
| 1184085185 | Elizabeth Finlayson | Radiologic Technologist | 109 Bee Street, Charleston, SC 29401-5799 | 2016-03-18 |
| 1912396003 | Iayne Brown | Physical Therapy Assistant | 109 Bee Street, Charleston, SC 29401-5703 | 2015-01-13 |
| 1932454238 | Beth Anne Barker | Nurse Practitioner | 109 Bee Street, Charleston, SC 29401 | 2012-07-23 |
| 1295034171 | Stephanie A. Peluso-abbott | Social Worker | 109 Bee Street, (mental Health - 116), Charleston, SC 29401 | 2011-03-18 |
| 1659577518 | Graciela B. De Jesus | Dermatology | 109 Bee Street, Medical Service (111) Ralph H. Johnsonva Medical Center, Charleston, SC 29401 | 2007-06-26 |
| 1003011412 | Anna Birks | Psychologist | 109 Bee Street, Charleston, SC 29401 | 2007-06-15 |
| 1538235601 | Douglas B Southworth | Psychiatry & Neurology | 109 Bee Street, Charleston Vamc, Charleston, SC 29401-0000 | 2006-11-28 |
| 1376623033 | Kristine Low Hoover | Pharmacist | 109 Bee Street, Ralph H Johnson Vamc, Charleston, SC 29401-5799 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881179364 | Geneva Jordan Garrett | Recreation Therapist | 109 Bee St, Charleston, SC 29401-5703 | 2018-10-01 |
| 1386162113 | Raymond Alexander Scott Sr. | Recreation Therapist | 109 Bee St, Charleston, SC 29401-5703 | 2017-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538688916 | Destiny Faith Douglas | Recreation Therapist | 2091 Sams Elbow Rd, West Columbia, SC 29170-1114 | 2017-09-16 |
| 1144820275 | Heather Ruffin | Recreation Therapist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-10-28 |
| 1063026193 | Hallie Smith | Recreation Therapist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-09-05 |
| City | CHARLESTON |
| Zip Code | 29401 |
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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.