MR. WILLIAM JENNINGS LAUGHERTY JR. (NPI# 1174839096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174839096 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM JENNINGS LAUGHERTY JR. |
| Credential | FNP |
| Practice Address |
204 W Hill Blvd Bldg 364 Rm 2056 Charleston SC 29404-4704 |
| Practice Telephone | 8652505805 |
| Mailing Telephone | 8652505805 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2018-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4292 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
204 W HILL BLVD BLDG 364 RM 2056 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29404-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631763 | Laura Simmons | Military Health Care Provider | 204 W Hill Blvd, Charleston, SC 29404-4704 | 2019-10-23 |
| 1205294550 | Brandon Stoker | Military Health Care Provider | 204 W Hill Blvd, Charleston, SC 29404-4704 | 2016-02-02 |
| 1922239466 | Monti Cutlip Jr. | Military Health Care Provider | 204 W Hill Blvd, Charleston, SC 29404-4704 | 2009-07-31 |
| 1447413471 | Peter H Lewis | Psychologist | 204 W Hill Blvd, 628th Mdos (mental Health - Bldg 1000), Charleston, SC 29404-4704 | 2008-07-09 |
| 1467534370 | Calvin Jon Bosman | Psychiatry & Neurology | 204 W Hill Blvd, Charleston, SC 29404-4704 | 2006-10-19 |
| 1164536983 | Jennifer S. Green | Social Worker | 204 W Hill Blvd, Charleston, SC 29404-4704 | 2006-08-18 |
| 1487665972 | Joseph Russell Maiden Sr. | Social Worker | 204 W Hill Blvd, 437 Medical Operations Squadron, Charleston, SC 29404 | 2006-08-10 |
| 1376553313 | Catherine Avery Hallett | Social Worker | 204 W Hill Blvd, Charleston, SC 29404-4704 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751971 | James Tyrone Wilder | Social Worker | B, 1001 Michigan Ave, Joint Base, Charleston, SC 29404 | 2017-10-23 |
| 1033422902 | Michael Ryan Moore | Physical Therapist | 628th Medical Group, 204 West Hill Blvd, Charleston, SC 29404 | 2010-07-21 |
| 1720221013 | Cristy Jo Preslar | Military Health Care Provider | 364 Arthur Drive, Charleston Afb, SC 29404 | 2009-04-16 |
| 1336237627 | Douglas Vail Campbell | Psychologist | 437mdos/lssc - 204 West Hill Blvd, Charleston Afb, SC 29404 | 2006-10-11 |
| 1124019914 | Neal Robert Taylor | Family Medicine | 628 Medical Group 204 W. Hill Blvd, Jb Charleston, SC 29404 | 2005-11-02 |
| 1295092328 | Suzanne M O'shea | Registered Nurse | 204 W. Hill Blvd, Charleston, SC 29404-0000 | 2012-04-13 |
| 1306281373 | Michelle Karen Calandra | Registered Nurse | 1000 Michigan Ave, Charleston Afb, SC 29404-2020 | 2013-05-06 |
| 1336560440 | Merin Williams | Speech-Language Pathologist | 1000 Michigan Ave, Charleston Afb, SC 29404-2020 | 2013-12-17 |
| 1154884468 | Palmetto Pa Assist, LLC | Physician Assistant | 101 Lawson Dr # 103, Charleston, SC 29404-2121 | 2019-04-12 |
| 1750811089 | Radiant Neuromonitoring LLC | Psychiatry & Neurology | 101 Lawson Dr # 104, Charleston, SC 29404-2121 | 2017-06-19 |
| Find all providers in zip 29404 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1043822216 | Amber Bagwell | Nurse Practitioner | 442 King St Fl 2, Charleston, SC 29403-6230 | 2020-08-19 |
| 1790396273 | Amanda Jo Grant | Nurse Practitioner | 2207 Seneca Dr, Charleston, IL 61920-3836 | 2020-08-10 |
| 1811514961 | Isabel Margarita Lemasters | Nurse Practitioner | 3226 Moonlight Dr, Charleston, SC 29414-8052 | 2020-07-05 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1770123929 | Catherine A. Woods | Nurse Practitioner | 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 | 2020-01-15 |
| 1104464999 | Brittany D Griffith | Nurse Practitioner | 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 | 2019-12-12 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1124660774 | Dennis Robert Moore | Nurse Practitioner | 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 | 2019-10-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29404 |
Please comment or provide details below to improve the information on MR. WILLIAM JENNINGS LAUGHERTY JR..
| 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.