CATHLEEN J NIXON (NPI# 1043264435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043264435 |
| Entity Type | Individual |
| Full Name | CATHLEEN J NIXON |
| Credential | FNP |
| Practice Address |
102 Rockcreek Blvd Greenwood SC 29649-8915 |
| Mailing Address |
187 Highland Dr Greenwood SC 29649-8983 |
| Practice Telephone | 8642275020 |
| Mailing Telephone | 8642275020 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F415 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0218 | 05 | |
| SC | MEDCOST | B0829 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316238371 | Cathleen Nixon | Licensed Practical Nurse | 11854 Wiscoy Rd, Portageville, NY 14536-9613 | 2011-04-26 |
| Street Address |
102 ROCKCREEK BLVD |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29649-8915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437112299 | Steven Jacob Pietrusza | Physician Assistant | 102 Rockcreek Blvd, Greenwood, SC 29649-8915 | 2006-04-11 |
| 1730728031 | Stephen Andrew Boucher | Nurse Practitioner | 102 Rockcreek Blvd, Greenwood, SC 29649-8915 | 2020-01-03 |
| 1841591195 | Self Medical Group | Clinic/Center | 102 Rockcreek Blvd, Greenwood, SC 29649-8915 | 2010-11-03 |
| 1891990990 | Sarah Mae Nunez Wilt | Family Medicine | 102 Rockcreek Blvd, Greenwood, SC 29649-8915 | 2007-06-19 |
| 1518992254 | Elena K. Sutton | Family Medicine | 102 Rockcreek Blvd, Greenwood, SC 29649-8915 | 2006-07-11 |
| 1316991185 | Denise Walker Thompson | Nurse Practitioner | 102 Rockcreek Blvd, Greenwood, SC 29649-8915 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
| 1225406960 | Jim Nasim | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2015-09-11 |
| 1174905806 | Social Change Initiative | Case Management | 1402 C Hwy 72 West, Greenwood, SC 29649 | 2015-06-18 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| Find all providers in zip 29649 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322505 | Amy Decker | Nurse Practitioner | 452 Macy Way, Greenwood, IN 46142-7483 | 2020-09-29 |
| 1417574252 | Amanda Rees | Nurse Practitioner | 432 S Emerson Ave Ste 320, Greenwood, IN 46143-1952 | 2020-06-27 |
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1487287579 | Angela Williams | Nurse Practitioner | 224 Georgia Ave, Greenwood, SC 29646-4642 | 2020-02-17 |
| 1740831015 | Cynthia Louise Lambert | Nurse Practitioner | 21580 Stacey Ln, Greenwood, NE 68366-1776 | 2019-09-26 |
| 1124682315 | Jill Bell Shirley | Nurse Practitioner | 105 Vinecrest Ct Ste 1000, Greenwood, SC 29646-8031 | 2019-04-24 |
| 1609332840 | Donna Luckett | Nurse Practitioner | 210 Amanda Dr Apt 15b, Greenwood, MS 38930-3820 | 2019-02-12 |
| 1902385123 | Cassandra Leigh Cole | Nurse Practitioner | 701 E County Line Rd Ste 204, Greenwood, IN 46143-1071 | 2018-08-08 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| Find all providers in GREENWOOD | ||||
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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.