DEIDRA DARE HUCKABEE


Address: 295 Midland Pkwy, Summerville, SC 29485-8104
Phone: 8438325000

DEIDRA DARE HUCKABEE (NPI# 1174008841) 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) 1174008841
Entity Type Individual
Full Name DEIDRA DARE HUCKABEE
Credential DNP
Practice Address 295 Midland Pkwy
Summerville
SC 29485-8104
Mailing Address 5870 Hiatus Rd
Tamarac
FL 33321-6424
Practice Telephone 8438325000
Mailing Telephone 9543772939
Enumeration Date 2018-09-28
Last Update Date 2018-10-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
77786 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 295 MIDLAND PKWY
City SUMMERVILLE
State SC
Zip Code 29485-8104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134137623 Stephen J O' Connor Emergency Medicine 295 Midland Pkwy, Summerville, SC 29483 2006-08-03
1316426448 Wesley Oneal Smith Registered Nurse 295 Midland Pkwy, Summerville, SC 29485-8104 2018-08-09
1053862789 Emily Anne Miller Physician Assistant 295 Midland Pkwy, Summerville, SC 29485-8104 2016-10-18
1801205760 Klondike Peak Inpatient Services LLC Internal Medicine 295 Midland Pkwy, Summerville, SC 29485-8104 2014-08-05
1023364734 Sheridan Children's Healthcare Services of South Carolina, P.a. Pediatrics 295 Midland Pkwy, Summerville, SC 29485-8104 2012-07-31
1629342050 Michael Hopkins Md PC Emergency Medicine 295 Midland Pkwy, Summerville Medical Center Emergency Department, Summerville, SC 29485-8104 2012-03-02
1750687091 Amanda Nichols Physician Assistant 295 Midland Pkwy, Summerville, SC 29485-8104 2011-02-03
1184941551 Richard Miles Thompson Emergency Medicine 295 Midland Pkwy, Summerville Medical Center Emergency Room, Summerville, SC 29485-8104 2010-04-26
1396061313 Christian Raymond Kegg Pediatrics 295 Midland Pkwy, Summerville, SC 29485-8104 2010-04-15
1861652760 Adam Daniel Barouh Pediatrics 295 Midland Pkwy, Summerville, SC 29485-8104 2008-06-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487267365 Cp Dentistry, LLC Dentist 9919 Dorchester Road, Summerville, SC 29485 2020-08-28
1922622604 Rachel Elaine Digiacomo Physical Therapist 10160 Dorchester Road, Summerville, SC 29485 2020-05-29
1396220034 Amanda W Peebles Nurse Practitioner 4278 Ladson Rd., Summerville, SC 29485 2018-09-28
1396230728 Gerald Darnell Woods Counselor 10825 Dorchester Rd. #3077, Summerville, SC 29485 2018-06-27
1063901072 Elite Barber Spa, LLC Specialist 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 2018-05-04
1598253528 Daniel Joseph Neitzke Student in an Organized Health Care Education/Training Program 9228 Medical Plaza Drive, Charleston, SC 29485 2018-04-25
1700315447 Donna Marie White Counselor 9214 Ayscough Road, Summerville, SC 29485 2017-06-07
1043763212 Brockman Davis Smith Dentist 1710 B Trolley Road, Summerville, SC 29485 2016-07-25
1336508530 Meca Home Health, LLC Home Health 415 Savannah River Rd, Summerville, SC 29485 2016-02-16
1609241033 Dental Professionals of South Carolina, PC Dentist 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 2015-12-10
Find all providers in zip 29485

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
1396220034 Amanda W Peebles Nurse Practitioner 4278 Ladson Rd., Summerville, SC 29485 2018-09-28
1043707557 Seaside Family Medicine, LLC Nurse Practitioner 1341 College Park Rd # A, Summerville, SC 29486 2018-04-19
1336649953 Rochelle D. Elayda Nurse Practitioner 1101 Old Trolley Rd Ste 100, Summerville, SC 29485-5294 2018-02-20
1558877357 Christina Marie Cottrell Nurse Practitioner 679 Orangeburg Rd Unit F, Summerville, SC 29483-9038 2017-12-17
1659897858 Brandon Michael Williams Nurse Practitioner 109 Carroll Ct, Summerville, SC 29483-4227 2017-08-18
1477927663 Alma Boone Nurse Practitioner 124 Valentin Dr, Summerville, SC 29483-8439 2015-11-25
1033526231 Shenise Seabrook Nurse Practitioner 9656 Pebble Creek Blvd, Summerville, SC 29485-8946 2014-07-20
1952730889 Brenda Veatch-haynes Nurse Practitioner 123 Martin St, Summerville, GA 30747-1260 2013-11-01
1477829703 Life Center Family Medicine Nurse Practitioner 679 Orangeburg Rd Ste F, Summerville, SC 29483-8914 2012-03-30
1497053656 Kimberly Vaughn Nurse Practitioner 138 Mitchell Dr, Summerville, GA 30747-6642 2011-03-11
Find all providers in SUMMERVILLE

Competitor

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City SUMMERVILLE
Zip Code 29485

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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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