Alyssa Soprano (NPI# 1083114847, PAC ID# 9234478413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083114847 |
| PAC ID by PECOS | 9234478413 |
| Professional Enrollment ID | I20190306000581 |
| Full Name | Alyssa Soprano |
| Organization Legal Name | CAROLINA BEHAVIORAL HEALTHCARE, LLC |
| Address |
505 Woodland Dr Kershaw SC 29067-1704 |
| Phone Number | 8032837465 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143586800 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 505 Woodland Dr, Kershaw, SC 29067-1704 | 8032837465 | CAROLINA BEHAVIORAL HEALTHCARE, LLC |
| Organization Legal Name | CAROLINA BEHAVIORAL HEALTHCARE, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheresa Catoe | Nurse Practitioner | Carolina Behavioral Healthcare, LLC | 505 Woodland Dr, Kershaw, SC 29067-1704 |
| Patricia Jones | Nurse Practitioner | Carolina Behavioral Healthcare, LLC | 505 Woodland Dr, Kershaw, SC 29067-1704 |
| Street Address |
505 WOODLAND DR |
| City | KERSHAW |
| State | SC |
| Zip | 29067-1704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheresa Catoe | Nurse Practitioner | Carolina Behavioral Healthcare, LLC | 505 Woodland Dr, Kershaw, SC 29067-1704 |
| Patricia Jones | Nurse Practitioner | Carolina Behavioral Healthcare, LLC | 505 Woodland Dr, Kershaw, SC 29067-1704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Mcdowell | Optometry | 112 E Hilton St, Kershaw, SC 29067-1318 | |
| Randall Stewart Barre | Family Medicine | Care-net of Lancaster | 212 E Marion St, Kershaw, SC 29067-1442 |
| Paula L Belmar | Internal Medicine | Sentinel Health Partners Pa | 216 E Marion St, Kershaw, SC 29067-1442 |
| Mary Camille Nutter | Family Medicine | Care-net of Lancaster | 212 E Marion St, Kershaw, SC 29067-1442 |
| City | KERSHAW |
| Zip Code | 29067 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KERSHAW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Alyssa Soprano.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.