AVIA LATRELLE REAVES (NPI# 1164076733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164076733 |
| Entity Type | Individual |
| Full Name | AVIA LATRELLE REAVES |
| Credential | FNP-BC |
| Practice Address |
1301 Taylor St Ste 8a Columbia SC 29201 |
| Mailing Address |
1301 Taylor St Ste 8a Columbia SC 29201-2955 |
| Practice Telephone | 8039292955 |
| Mailing Telephone | 8039292955 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23110 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Medical Park Road, Columbia, SC 29203 | 8034347500 |
| Street Address |
1301 TAYLOR ST STE 8A |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053529685 | Achu Mofor | Family Medicine | 1301 Taylor St Ste 8a, Columbia, SC 29201-2955 | 2007-05-18 |
| 1093236309 | Hailley Oxner Story | Internal Medicine | 1301 Taylor St Ste 8a, Columbia, SC 29201-2955 | 2017-06-28 |
| 1346787231 | Cierra O'neal | Nurse Practitioner | 1301 Taylor St Ste 8a, Columbia, SC 29201-2955 | 2017-01-30 |
| 1508216490 | Caleb Richards | Internal Medicine | 1301 Taylor St Ste 8a, Columbia, SC 29201 | 2016-06-21 |
| 1831553502 | Xinlu Liu | Internal Medicine | 1301 Taylor St Ste 8a, Columbia, SC 29201-2955 | 2016-04-08 |
| 1942664610 | Michelle Lynn Crouse | Internal Medicine | 1301 Taylor St Ste 8a, Columbia, SC 29201-2955 | 2016-04-08 |
| 1033390661 | Laura Elizabeth Hamilton | Internal Medicine | 1301 Taylor St Ste 8a, Columbia, SC 29201-2955 | 2007-11-26 |
| 1306026554 | Gwendolyn E Bowers | Internal Medicine | 1301 Taylor St Ste 8a, Columbia, SC 29201-2955 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1316544315 | Rezvaneh Goodarzi | Nurse Practitioner | 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 | 2020-10-03 |
| 1316559255 | Lauren Olivia Lenauer | Nurse Practitioner | 1600 E Broadway # 300, Columbia, MO 65201-5844 | 2020-08-21 |
| 1285246272 | Lourdes Claire De Las Alas | Nurse Practitioner | 6005 Shepherd Sq, Columbia, MD 21044-3114 | 2020-08-20 |
| 1619587540 | Josey Abraham | Nurse Practitioner | 305 Aiken Hunt Cir, Columbia, SC 29223-8407 | 2020-08-05 |
| 1588274765 | Tomeka Nichole Jackson | Nurse Practitioner | 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 | 2020-08-03 |
| 1528696762 | Mark Edward Merkel | Nurse Practitioner | 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 | 2020-04-01 |
| 1306489265 | Andrew Leitch | Nurse Practitioner | 313 N Trenholm Rd, Columbia, SC 29206-3207 | 2019-10-23 |
| 1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
| Find all providers in COLUMBIA | ||||
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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.