MRS. KELLY MIXON (NPI# 1912304692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912304692 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MIXON |
| Credential | RN |
| Practice Address |
1119 N Irby St Florence SC 29501-2621 |
| Practice Telephone | 8436648162 |
| Practice Fax Number | 8436648178 |
| Mailing Telephone | 8436648162 |
| Mailing Fax Number | 8436648178 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
78085 | SC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356792618 | Kelly Mixon | Nurse Practitioner | 1361 W Fremont St, Galesburg, IL 61401-2436 | 2016-06-28 |
| Street Address |
1119 N IRBY ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346684206 | Glenn A. Keels | Counselor | 1119 N Irby St, Florence, SC 29501-2621 | 2013-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900112 | Suzanne Silvas | Registered Nurse | 1000 S. Main St., Florence, AZ 85132-3053 | 2018-11-08 |
| 1912321233 | Tiffany Edwards | Registered Nurse | 201 Westfield Dr, Florence, SC 29501-7594 | 2014-02-06 |
| 1992134480 | Jennifer Mccracken | Registered Nurse | 221 N Beltline Dr, Florence, SC 29501-7402 | 2013-11-05 |
| 1821330341 | Leanne Marie Harter | Registered Nurse | 2300 E Howe Springs Rd, Florence, SC 29505-6700 | 2013-03-22 |
| 1851630917 | Jennifer Wall Vause | Registered Nurse | 3501 E Palmetto St, Florence, SC 29506-4015 | 2013-02-11 |
| 1467076299 | Myosha Robinson | Registered Nurse | 4822 E Palmetto St, Florence, SC 29506-4530 | 2020-06-08 |
| 1699294397 | Linda Elaine Ellis | Registered Nurse | 221 N Beltline Dr, Florence, SC 29501-7402 | 2017-09-13 |
| 1790239432 | Cornelia Nan Ross | Registered Nurse | 1100 N Irby St, Florence, SC 29501-2632 | 2016-08-11 |
| 1629461728 | Angela Padgett | Registered Nurse | 319 S Dargan St, Florence, SC 29506-2538 | 2015-03-13 |
| 1891133443 | Elizabeth Hamer Law Holzbach | Registered Nurse | 319 S Dargan St, Florence, SC 29506-2538 | 2013-06-05 |
| Find all providers in FLORENCE | ||||
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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.