KELLI MCKINNON THIELBAR (NPI# 1124466461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124466461 |
| Entity Type | Individual |
| Full Name | KELLI MCKINNON THIELBAR |
| Practice Address |
115 Connie Wright Rd Irmo SC 29063-8764 |
| Practice Telephone | 8034764413 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
203279 | SC | Behavioral Health & Social Service Providers |
| Street Address |
115 CONNIE WRIGHT RD |
| City | IRMO |
| State | SC |
| Zip Code | 29063-8764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316380165 | Filomena Stucker | Registered Nurse | 115 Connie Wright Rd, Irmo, SC 29063-8764 | 2013-04-11 |
| 1215375639 | Mary B King | Speech-Language Pathologist | 115 Connie Wright Rd, Irmo, SC 29063-8764 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
| 1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
| 1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
| Find all providers in zip 29063 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083015218 | Kelly Rose O'connor | Psychologist | 7401 Gibbes St, Irmo, SC 29063-2819 | 2014-09-08 |
| 1154721744 | Jennifer Meehan | Psychologist | 1 River Bottom Rd, Irmo, SC 29063-8630 | 2014-09-02 |
| 1649688763 | Trang Trotter | Psychologist | 1528 Old Tamah Rd, Irmo, SC 29063-9000 | 2014-08-01 |
| 1588092381 | Leah Danford | Psychologist | 1040 Bickley Rd, Irmo, SC 29063-9523 | 2013-10-15 |
| 1306285515 | Lolita Richardson | Psychologist | 1500 Chadford Rd, Irmo, SC 29063-2038 | 2013-06-20 |
| 1457790834 | Sue Kobus Smith | Psychologist | 1500 Chadford Rd, Irmo, SC 29063-2038 | 2013-06-19 |
| 1992143036 | Brandy Kerwin | Psychologist | 1020 Dutch Fork Rd, Irmo, SC 29063-8822 | 2013-06-11 |
| 1255779518 | Elizabeth Lois Elijah | Psychologist | 1040 Bickley Rd, Irmo, SC 29063-9523 | 2013-06-10 |
| 1225476971 | Elizabeth Adams Kinney | Psychologist | 1 River Bottom Rd, Irmo, SC 29063-8630 | 2013-06-04 |
| 1801230594 | Meg Oakley | Psychologist | 1020 Dutch Fork Rd, Irmo, SC 29063-8822 | 2013-04-24 |
| Find all providers in IRMO | ||||
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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.