AQUILLA BEC (NPI# 1134233810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134233810 |
Entity Type | Individual |
Full Name | AQUILLA BEC |
Practice Address |
1268 S 4th St Hartsville SC 29550-0703 |
Practice Telephone | 8433320118 |
Enumeration Date | 2006-08-18 |
Last Update Date | 2017-09-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN2510 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | NP0885 | 05 |
Street Address |
1268 S 4TH ST |
City | HARTSVILLE |
State | SC |
Zip Code | 29550-0703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720082571 | Caresouth Carolina, Inc. | Clinic/Center | 1268 S 4th St, Hartsville, SC 29550-0703 | 2005-06-09 |
1457963043 | Lindsay Martin King | Pharmacist | 1268 S 4th St, Hartsville, SC 29550-0703 | 2020-08-17 |
1063069441 | Jocelyn Boyer | Social Worker | 1268 S 4th St, Hartsville, SC 29550 | 2019-08-21 |
1033673405 | Katelon Marie Smith | Nurse Practitioner | 1268 S 4th St, Hartsville, SC 29550-0703 | 2019-01-29 |
1518477553 | Mary Hinson | Pharmacist | 1268 S 4th St, Hartsville, SC 29550-0703 | 2017-10-04 |
1841721529 | Heather Deanna Alexander | Nurse Practitioner | 1268 S 4th St, Hartsville, SC 29550-0703 | 2017-03-23 |
1144670266 | Daniel R Conner | Family Medicine | 1268 S 4th St, Hartsville, SC 29550-0703 | 2016-06-20 |
1114301165 | Shelly Conner | Nurse Practitioner | 1268 S 4th St, Hartsville, SC 29550-0703 | 2015-07-18 |
1740663038 | Jennifer M Lynch | Nurse Practitioner | 1268 S 4th St, Hartsville, SC 29550-0703 | 2015-07-03 |
1821480195 | Angela Council | Nurse Practitioner | 1268 S 4th St, Hartsville, SC 29550-0703 | 2015-02-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
Find all providers in zip 29550 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396939971 | Jacob Coward | Nurse Practitioner | 518 E Carolina Ave Ste B, Hartsville, SC 29550-4312 | 2007-08-28 |
1255840773 | Haley Meharg Jackson | Nurse Practitioner | 906 W Carolina Ave, Hartsville, SC 29550-4416 | 2017-09-27 |
1407253644 | Casey Moore | Nurse Practitioner | 518 E Carolina Ave, Hartsville, SC 29550-4312 | 2014-12-03 |
1891926606 | Heather Michelle Worsham | Nurse Practitioner | 1268 S 4th St, Hartsville, SC 29550-0703 | 2009-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912515511 | Naajah Hughes | Nurse Practitioner | 96 Jonathan Lucas Street Csb 428 Msc 608, Charleston, SC 29425-0001 | 2020-07-20 |
1558835355 | Conway Hospital Inc | Nurse Practitioner | 124 Professional Park Drive, Ste A, Conway, SC 29526-9260 | 2019-01-15 |
1104220433 | Diana L Taylor | Nurse Practitioner | 140 Professional Park Drive, Conway, SC 29526 | 2014-10-15 |
1134540008 | Jeanne Egli | Nurse Practitioner | 99 Bridgetown Rd, Goose Creek, SC 29445-5359 | 2013-12-19 |
1962839696 | Tracey Christine Wood | Nurse Practitioner | 140 Bandage Ct, Murrells Inlet, SC 29576-5103 | 2013-09-26 |
1982037495 | Amanda Mcallister | Nurse Practitioner | 1341 College Park Rd Ste A, Summerville, SC 29486 | 2013-08-20 |
1144568650 | Rebecca Pursley Brown | Nurse Practitioner | 128 Camelot Dr, Gaffney, SC 29341-1012 | 2013-01-18 |
1891097580 | Jocelyn Miller Snider | Nurse Practitioner | 1223 S Lake Dr, Lexington, SC 29073-6889 | 2010-12-01 |
1972805190 | Care House of The Pee Dee Inc | Nurse Practitioner | 1500 Patton Dr, Florence, SC 29501-6520 | 2010-11-19 |
1841436219 | Elsie May Hartigan | Nurse Practitioner | 834 W. Meeting St. Suite C, Lancaster, SC 29720 | 2009-01-06 |
Find all providers with the same taxonomy |
City | HARTSVILLE |
Zip Code | 29550 |
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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.