MARIE DAVIS RATAJ (NPI# 1003872391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003872391 |
Entity Type | Individual |
Full Name | MARIE DAVIS RATAJ |
Credential | ANP |
Practice Address |
92 Springview Lane South Carolina Sleep Medicine Summerville SC 29485 |
Mailing Address |
92 Springview Lane Summerville SC 29485 |
Practice Telephone | 8438714006 |
Practice Fax Number | 8438714074 |
Mailing Telephone | 8438714006 |
Mailing Fax Number | 8438714074 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2015-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A2706 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
92 SPRINGVIEW LANE SOUTH CAROLINA SLEEP MEDICINE |
City | SUMMERVILLE |
State | SC |
Zip Code | 29485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144601592 | Michelle Felice Peterson | Nurse Practitioner | 92 Springview Lane, South Carolina Sleep Medicine, Summerville, SC 29485 | 2015-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
Find all providers in zip 29485 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184730731 | Kristeen L Hillier | Nurse Practitioner | 75 Springview Ln, Summerville, SC 29485-8154 | 2006-08-23 |
1144601592 | Michelle Felice Peterson | Nurse Practitioner | 92 Springview Lane, South Carolina Sleep Medicine, Summerville, SC 29485 | 2015-06-11 |
1386997542 | Chikako Okumura Riester | Nurse Practitioner | 2001 2nd Ave Ste 201, Summerville, SC 29486-7887 | 2012-10-24 |
1144579806 | Allison Fain Davis | Nurse Practitioner | 1101 Old Trolley Rd, Suite 300, Summerville, SC 29485 | 2012-09-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841898038 | Latoya Gibson | Nurse Practitioner | 48 Centennial Way, Greenville, SC 29605-4662 | 2020-10-12 |
1003413469 | South Carolina Provider Services | Nurse Practitioner | 413 Wildflower Rd, Easley, SC 29642-8642 | 2020-10-07 |
1578173555 | Amy Kelly | Nurse Practitioner | 115 N Sumter St Ste 300, Sumter, SC 29150-4967 | 2020-08-05 |
1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
1427696475 | Porscha Rush | Nurse Practitioner | 1040 Frye Rd, Galivants Ferry, SC 29544-8018 | 2019-12-19 |
1306483011 | Julie Marie Sim | Nurse Practitioner | 35 Bill Fries Dr Bldg F, Hilton Head Island, SC 29926-2731 | 2019-12-02 |
1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
1396225769 | Kristin Claude | Nurse Practitioner | 421 Se Main St Ste 100, Simpsonville, SC 29681-2697 | 2018-08-15 |
1376031732 | Migina Anica Timpson | Nurse Practitioner | 317 Saint Francis Dr Ste 220, Greenville, SC 29601-3976 | 2018-05-01 |
1932601903 | Jamie Andrews Odom | Nurse Practitioner | 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 | 2018-03-06 |
Find all providers with the same taxonomy |
City | SUMMERVILLE |
Zip Code | 29485 |
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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.