LILLIAN STUKES-DOUGLAS (NPI# 1952643124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952643124 |
| Entity Type | Individual |
| Full Name | LILLIAN STUKES-DOUGLAS |
| Credential | DNP |
| Practice Address |
325 Broad St Suite 100 Sumter SC 29150-4167 |
| Mailing Address |
21 E Hospital St Manning SC 29102-3152 |
| Practice Telephone | 8037735227 |
| Practice Fax Number | 8037539312 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2017-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 18215 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
325 BROAD ST SUITE 100 |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245221712 | Sylvia Lucia Parra | Dermatology | 325 Broad St, Suite 200, Sumter, SC 29150-4167 | 2005-11-02 |
| 1821565334 | Grace Wielicki Couch | Nurse Practitioner | 325 Broad St, Sumter, SC 29150-4167 | 2018-11-01 |
| 1467856930 | Carrie Elliott Hoshour | Nurse Practitioner | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2014-10-13 |
| 1528494051 | Abigail Sloan Ham | Physician Assistant | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2013-09-16 |
| 1134471436 | Miranda Elizabeth Booth-poplin | Pharmacist | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2012-10-10 |
| 1285912170 | Colonial Family Practice, LLC | Pharmacy | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2011-07-27 |
| 1730486838 | Hanna S Rivers | Nurse Practitioner | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2011-02-25 |
| 1740444223 | Meaghan Hall Gosma | Nurse Practitioner | 325 Broad St, 100, Sumter, SC 29150-4167 | 2008-07-15 |
| 1073788022 | Adam Scott Bailey | Physician Assistant | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2008-04-29 |
| 1477746998 | Thomas Lawman Lucas IIi | Family Medicine | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2007-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962479170 | K. Patricia Miller Derajtys | Nurse Practitioner | 1278 N Lafayette Drive, Sumter, SC 29150 | 2006-03-07 |
| 1932708146 | Latroy Omar Dingle | Nurse Practitioner | 100 W Liberty St, Sumter, SC 29150-5142 | 2020-10-19 |
| 1568925337 | Paula Mcknight-leggette | Nurse Practitioner | 129 N Washington St, Sumter, SC 29150 | 2019-04-09 |
| 1396267340 | Mcleod Physician Associates II | Nurse Practitioner | 540 Physicians Ln, Sumter, SC 29150-3370 | 2017-07-12 |
| 1275071300 | Chasity Shadoan | Nurse Practitioner | 641 W Wesmark Blvd, Sumter, SC 29150-1900 | 2017-02-09 |
| 1114332665 | Wal-mart Stores East, Lp | Nurse Practitioner | 1283 Broad St, Sumter, SC 29150-1973 | 2014-06-24 |
| 1225467707 | Barbara Carden | Nurse Practitioner | 625 W Wesmark Blvd, Sumter, SC 29150-1900 | 2013-11-05 |
| 1124276233 | Carla Michelle Foley | Nurse Practitioner | 115 N Sumter St, Suite 115, Sumter, SC 29150-4972 | 2008-09-03 |
| 1720112618 | Gwen Gray Girdler | Nurse Practitioner | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2007-03-15 |
| 1700919842 | Mary Jean Sturgis | Nurse Practitioner | 129 N Washington St, Sumter, SC 29150-4949 | 2007-03-14 |
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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.