MARY KATHERINE GILLINGHAM


Address: 35 Ray E Talley Ct, Simpsonville, SC 29680-6772
Phone: 8649677028

MARY KATHERINE GILLINGHAM (NPI# 1154634061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154634061
Entity Type Individual
Full Name MARY KATHERINE GILLINGHAM
Other Name MARY KATHERINE RABREN
Credential NP-C
Practice Address 35 Ray E Talley Ct
Simpsonville
SC 29680-6772
Mailing Address 10 Dacus Dr
Greenville
SC 29605-6008
Practice Telephone 8649677028
Practice Fax Number 8642280915
Mailing Telephone 8642777005
Enumeration Date 2010-07-20
Last Update Date 2018-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
51001 SC Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
APN.4297 APRN SC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2126 N Highway 81, Anderson, SC 29621 8642262660

Other Providers MARY GILLINGHAM

NPI Name Taxonomy Address Enumeration
1154817906 Mary Alice Gillingham Nurse Practitioner 1915 Eisenhower Dr, Savannah, GA 31406-5027 2018-07-05

Office Location

Street Address 35 RAY E TALLEY CT
City SIMPSONVILLE
State SC
Zip Code 29680-6772

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154387140 Stephen E Parks Emergency Medicine 35 Ray E Talley Ct, Simpsonville, SC 29680-6772 2006-04-26
1841640216 Kristen Leigh Tallon Nurse Practitioner 35 Ray E Talley Ct, Simpsonville, SC 29680-6772 2016-06-16
1639576127 Nazish Zakaib Physician Assistant 35 Ray E Talley Ct, Simpsonville, SC 29680-6772 2014-11-26
1023449170 Lindsay Burke Physician Assistant 35 Ray E Talley Ct, Simpsonville, SC 29680-6772 2013-11-27
1326387218 Doctors Care Sc, Pa Emergency Medicine 35 Ray E Talley Ct, Simpsonville, SC 29680-6772 2013-02-12
1366717977 Progressive Physical Therapy, Pa Occupational Therapist 35 Ray E Talley Ct, Simpsonville, SC 29680-6772 2012-03-14
1487979852 Kimber L Hoyler Physician Assistant 35 Ray E Talley Ct, Simpsonville, SC 29680-6772 2010-03-29
1588853956 Donna K Johnson Nurse Practitioner 35 Ray E Talley Ct, Simpsonville, SC 29680-6772 2007-10-22
1316969280 Leslie Marie Hyman Physical Therapist 35 Ray E Talley Ct, Simpsonville, SC 29680-6772 2006-07-23
1861432387 Daniel Walter Brake Jr. Family Medicine 35 Ray E Talley Ct, Simpsonville, SC 29680 2006-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235776568 Tribe Dental LLC Dentist 11 Magnolia Cove Dr, Simpsonville, SC 29680 2019-12-05
1255860243 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 704 Fairview Rd., Simpsonville, SC 29680 2017-06-05
1588061998 Wrights Care Services LLC Community/Behavioral Health 504 Boyd Ave, Simpsonville, SC 29680 2014-12-01
1619389590 Nina Christine Mckenzie Speech-Language Pathologist 303 Barrett Chase Dr, Simpsonville, SC 29680 2014-05-27
1275878761 Stepping Stones Therapy Services Speech-Language Pathologist 501 Westbury Way, Simpsonville, SC 29680 2012-12-10
1295085363 Wael D Nasr Pharmacist 698 Fairview Rd., Simpsonville, SC 29680 2012-09-14
1285984831 Courtney Sands Pharmacist 914 West Georgia Road, Simpsonville, SC 29680 2012-09-11
1245589175 Jeegar Patel Pharmacist 914 West Georgia Rd, Simpsonville, SC 29680 2012-09-06
1083847024 Still Waters Therapeutic Massage & Wellness Clinic Massage Therapist 452 North Main St., Six Mile, SC 29680 2009-08-25
1104849314 Victor Paul Lebedovych Dentist 634 Fairview Rd, Building C, Simspnville, SC 29680 2006-07-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679116438 Hayley Ulmer Painter Nurse Practitioner 273 Harrison Bridge Rd, Simpsonville, SC 29680-7132 2019-10-24
1942769914 Lauren Nicole Griffin Nurse Practitioner 1409 W Georgia Rd Ste A, Simpsonville, SC 29680-6420 2019-03-18
1164997003 Nancy Jessica Lloyd Nurse Practitioner 695 Fairview Rd, Simpsonville, SC 29680-6706 2018-10-08
1992286876 William Graham Robinson Nurse Practitioner 312 Harrison Bridge Rd Ste 200, Simpsonville, SC 29680-7133 2018-08-28
1194206540 Lynnette Kathleen Beyerle Nurse Practitioner 227 N Main Street, Simpsonville, SC 29681 2018-08-23
1821577230 Tammy Bagwell Nurse Practitioner 1002 Willow Branch Dr, Simpsonville, SC 29680-3623 2018-08-08
1437673423 Abby Elizabeth Meagher Nurse Practitioner 1338 South Carolina Highway 14, Simpsonville, SC 29681 2017-08-01
1043628027 Guendalina Chesney Nurse Practitioner 719 Se Main St Bldg B, Simpsonville, SC 29681-3237 2014-07-23
1639586563 Natalie Putnam Nurse Practitioner 2805 Kemet Drive, Simpsonville, SC 29681-0009 2014-07-11
1396034278 Kristin Kay Jones Nurse Practitioner 3930 Grandview Dr, Simpsonville, SC 29680-3163 2011-03-31
Find all providers in SIMPSONVILLE

Competitor

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City SIMPSONVILLE
Zip Code 29680

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Dataset Information

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.

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