MARIGRACE VANDEVENTER (NPI# 1891218939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891218939 |
| Entity Type | Individual |
| Full Name | MARIGRACE VANDEVENTER |
| Practice Address |
300 Singleton Ridge Rd Conway SC 29526-9142 |
| Practice Telephone | 8432345037 |
| Practice Fax Number | 8433471541 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
226954 | SC | Nursing Service Providers |
| Street Address |
300 SINGLETON RIDGE RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450643 | Kathleen M Chance | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2005-07-12 |
| 1588275101 | Christina Lauren St Clair | Registered Nurse | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-08-17 |
| 1184248569 | Evan Samuel Culp | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-06-02 |
| 1023637352 | Tawsif Nadir | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-16 |
| 1427677053 | Bennett Leanna Haskin | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1174142731 | Jae Hyun Shim | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1891314449 | Eric Yunkwen Choi | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1487273017 | Tooba Anum | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1083242960 | Noman Ghiasi | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-03-27 |
| 1336775154 | Kaila Marnan Robbins | Registered Nurse | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679851620 | Linda M. Pabin | Registered Nurse | 2302 College Avenue, Conway, AR 72034 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970200 | April Weathers | Registered Nurse | 368 Foxchase Cir, North Augusta, SC 29860-8184 | 2019-09-10 |
| 1538633789 | Elizabeth Ashley Nickerson | Registered Nurse | 240 Circle Dr, Woodruff, SC 29388-8624 | 2019-01-21 |
| 1235607995 | Mellissa Willette | Registered Nurse | 2209 Sunny Valley Ct, Fort Mill, SC 29707-7770 | 2018-11-10 |
| 1538640016 | Margaret Ann Deneau-saxton | Registered Nurse | 524 Georgia Ave, North Augusta, SC 29841-3700 | 2018-08-23 |
| 1447760475 | Suzanne Michele Nicklas | Registered Nurse | 101 Amaryllis Ave, Summerville, SC 29483-5598 | 2017-10-04 |
| 1679985683 | Jesica Miller | Registered Nurse | 1105 Mainland Ct, Mount Pleasant, SC 29464-4262 | 2014-05-24 |
| 1225453772 | Judy Case | Registered Nurse | 4 E Mill Ct, Taylors, SC 29687-5107 | 2014-02-20 |
| 1346664737 | Oh Baby LLC | Registered Nurse | 340 Minkum Rd, Gaffney, SC 29340-6133 | 2014-02-06 |
| 1508107921 | Wanda Kaye Campagnari | Registered Nurse | 3075 Caitlynn Dr, Sumter, SC 29154-8247 | 2013-03-11 |
| 1932458700 | Lynda J Coyle | Registered Nurse | 211 Batesville Rd., Simpsonville, SC 29681 | 2012-09-07 |
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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.