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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
77786 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
295 MIDLAND PKWY |
City | SUMMERVILLE |
State | SC |
Zip Code | 29485-8104 |
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 |
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 Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
City | SUMMERVILLE |
Zip Code | 29485 |
Please comment or provide details below to improve the information on DEIDRA DARE HUCKABEE.
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.