MRS. KRISTY MICHELLE WOLFF (NPI# 1952582603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952582603 |
Entity Type | Individual |
Full Name | MRS. KRISTY MICHELLE WOLFF |
Other Name | MS. KRISTY CLARK-RALEY |
Credential | NP |
Practice Address |
935 West 2nd St Swansea SC 29160 |
Mailing Address |
2720 Sunset Blvd Attn Credentialing West Columbia SC 29169-4810 |
Practice Telephone | 8035682000 |
Practice Fax Number | 8035685113 |
Mailing Telephone | 8039367679 |
Enumeration Date | 2007-11-23 |
Last Update Date | 2011-10-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 3246 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3246F | SC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972548436 | Kristy M Wolff | Obstetrics & Gynecology | 3307 Renner Dr, Fortuna, CA 95540-3119 | 2006-06-18 |
Street Address |
935 WEST 2ND ST |
City | SWANSEA |
State | SC |
Zip Code | 29160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760974828 | Sandy Run K-8 School | Clinic/Center | 450 Old Swamp Rd, Swansea, SC 29160 | 2018-06-05 |
1528314465 | Heritage Family Dentistry, LLC | Dentist | 533 Saint Matthews Road, Swansea, SC 29160 | 2012-07-30 |
1770727190 | Personal Touch Homecare,llc | Home Health | 335 W. Third St., Swansea, SC 29160 | 2009-04-29 |
1457415853 | Cassandra Jo Moore | Counselor | 580 North Church Street, Swansea, SC 29160 | 2006-12-20 |
1821021254 | Lexington County Health Services District Inc | Clinic/Center | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-09 |
1174543409 | Dale Blizzard | Family Medicine | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-20 |
1730105735 | Lexington County Health Services District, Inc. | Clinic/Center | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-14 |
1629194220 | Joseph B Workman IIi | Dentist | 533 St Matthews Rd, Swansea, SC 29160-0624 | 2007-03-22 |
1861797128 | Palmetto Senior Advocate | Health Maintenance Organization | 3064 Pine Plain Road, Swansea, SC 29160-0656 | 2011-01-18 |
1831167873 | Discount Drug of Swansea | Pharmacy | 290 West Third Street, Swansea, SC 29160-0985 | 2006-03-08 |
Find all providers in zip 29160 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336603364 | Kari Anne Simmons | Nurse Practitioner | 445 Sardis Church Rd, Swansea, SC 29160-8457 | 2019-01-23 |
1841714045 | Monica Ann Rothwell | Nurse Practitioner | 2340 Gar Hwy, Swansea, MA 02777-3907 | 2017-07-28 |
1851840722 | Ashley Brooke Tetreault | Nurse Practitioner | 2340 Grand Army Hwy, Swansea, MA 02777-3907 | 2016-10-03 |
1801078589 | Elizabeth Eileen Seal | Nurse Practitioner | 1031 Cedar Creek Rd, Swansea, SC 29160-9117 | 2007-12-04 |
1396380721 | Sydney Jayne Dantzler | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2019-11-08 |
1528602331 | Melissa N Thole | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-11-05 |
1417590720 | Lauren Eck | Nurse Practitioner | 4000 N Illinois Ln, Swansea, IL 62226-1969 | 2019-10-21 |
1972145043 | Lindsay Medeiros | Nurse Practitioner | 440 Swansea Mall Dr, Swansea, MA 02777-4114 | 2019-10-10 |
1386298024 | Monica S Sires | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2019-07-31 |
1053897645 | Amanda Rae Johnson | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2018-07-17 |
Find all providers in SWANSEA |
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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.