MS. KAY MOTZ MELBA (NPI# 1164634630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164634630 |
| Entity Type | Individual |
| Full Name | MS. KAY MOTZ MELBA |
| Credential | APRN |
| Practice Address |
10701 Anderson Rd Easley SC 29642 |
| Mailing Address |
626 S Sweetwater Hills Dr Moore SC 29369 |
| Practice Telephone | 8642952500 |
| Practice Fax Number | 8642952506 |
| Mailing Telephone | 8644868106 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2011-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2306 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0119 | 05 | |
| SC | DEA REGISTRATION # | MM0295495 | 01 |
| Street Address |
10701 ANDERSON RD |
| City | EASLEY |
| State | SC |
| Zip Code | 29642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364109 | Ben William Wilson Jr. | Family Medicine | 10701 Anderson Rd, Easley, SC 29642-9309 | 2005-05-27 |
| 1992089841 | Rachel Click Pruitt | Family Medicine | 10701 Anderson Rd, Easley, SC 29642-9309 | 2011-10-10 |
| 1871770891 | Jennifer L Smart | Family Medicine | 10701 Anderson Rd, Easley, SC 29642-9309 | 2008-01-22 |
| 1629164942 | William S Koch | Family Medicine | 10701 Anderson Rd, Easley, SC 29642-9309 | 2006-10-05 |
| 1053407361 | Louis B Mathis Jr. | Family Medicine | 10701 Anderson Rd, Easley, SC 29642-9309 | 2006-10-05 |
| 1770679003 | David A Junker | Family Medicine | 10701 Anderson Rd, Easley, SC 29642-9309 | 2006-10-05 |
| 1932118411 | Powdersville Pharmacy, Pa | Pharmacy | 10701 Anderson Rd, Easley, SC 29642-9309 | 2006-08-05 |
| 1891722666 | St Francis Physician Services Inc | Family Medicine | 10701 Anderson Rd, Easley, SC 29642-9309 | 2006-06-27 |
| 1689612152 | Karla Lurell Lester | Physician Assistant | 10701 Anderson Rd, Easley, SC 29642-9309 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316911 | Marlesia Hall | Licensed Practical Nurse | 106 Teal Dr, Easley, SC 29642 | 2020-11-06 |
| 1437648904 | Onsite Healthcare and Wellness LLC | Nurse Practitioner | 217 Sheffield Ct, Easley, SC 29642 | 2018-05-09 |
| 1477073476 | Aubre True | Specialist/Technologist | 124 Century Oaks Dr, Easley, SC 29642 | 2017-06-21 |
| 1912439944 | First Physical Therapy, LLC | Clinic/Center | 3613 Sc 153, Suite 200, Powdersville, SC 29642 | 2017-03-29 |
| 1801146485 | Sara Michele Calvert | Pharmacist | 1063 South Pendleton Street, Easley, SC 29642 | 2012-09-11 |
| 1023365251 | Heather Lilley | Pharmacist | 5251 Calhoun Memorial Hwy, Easley, SC 29642 | 2012-08-07 |
| 1942590088 | Mallorie Bryan Costner | Speech-Language Pathologist | 507 Huntington Road, Easley, SC 29642 | 2011-04-11 |
| 1225352339 | Jon Lawrence Rhoden | Pharmacist | 320 Watson Road, Easley, SC 29642 | 2010-03-18 |
| 1386865350 | Gordon David Dannelly | Dentist | 701 Brushy Creek Road, Easley, SC 29642 | 2007-05-01 |
| 1538280755 | Michelle Leigh Tucker | Obstetrics & Gynecology | 1351 Crestview Road, Easley, SC 29642 | 2007-04-03 |
| Find all providers in zip 29642 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1982229670 | Cheryl Renea Lee | Nurse Practitioner | 105 Georgetown Way, Easley, SC 29640-8304 | 2020-06-09 |
| 1851765325 | Holland Barfield | Nurse Practitioner | 1209 Old Mill Rd, Easley, SC 29642-9502 | 2015-11-21 |
| 1326434283 | Christina Garrett | Nurse Practitioner | 24 Duxbury Ln, Easley, SC 29642-7011 | 2015-04-07 |
| 1396028288 | Blair Sanders Mcalister | Nurse Practitioner | 112 John St Ste 202, Easley, SC 29640-1406 | 2011-09-27 |
| 1194053595 | Kezia Nixon | Nurse Practitioner | Po Box 484, Easley, SC 29641-0484 | 2009-11-23 |
| 1457440661 | Angela Boggs Bell | Nurse Practitioner | 201 Richard Str, Easley, SC 29640 | 2006-10-12 |
| 1548276702 | Donna D. Garrett | Nurse Practitioner | 5269 Calhoun Memorial Hwy, Easley, SC 29640-3865 | 2006-07-31 |
| 1588615561 | Nancy Trifilo | Nurse Practitioner | 832 Powdersville Rd, Easley, SC 29642-3706 | 2006-05-13 |
| 1033114798 | Jennifer Sirmon Fox | Nurse Practitioner | 109 Fleetwood Dr, Suite A, Easley, SC 29640-2019 | 2005-06-17 |
| Find all providers in EASLEY | ||||
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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.