MRS. KIMBERLY THOMAS GAUGHAN (NPI# 1194355701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194355701 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY THOMAS GAUGHAN |
| Credential | BSN |
| Practice Address |
700 21st Ave N Myrtle Beach SC 29577-7400 |
| Mailing Address |
2203 Woodlawn Dr Conway SC 29526-7707 |
| Practice Telephone | 8434095287 |
| Mailing Telephone | 8434095287 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 39545 | SC | Nursing Service Providers |
| Street Address |
700 21ST AVE N |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336565357 | Donna Cartrette | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-14 |
| 1205463643 | Jennifer Theresa Poling | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2020-03-25 |
| 1407480940 | Amy Root | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2020-02-24 |
| 1497160485 | Lori Murphy | Dietitian, Registered | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-06-27 |
| 1316366578 | Rita Windes | Licensed Practical Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-04-15 |
| 1750707675 | Timea Meszaros | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-17 |
| 1093131005 | Paul A Repik | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101974 | Marina Bartholomew | Registered Nurse | 6111 Brothers Hill Rd, Myrtle Beach, SC 29588-8953 | 2020-07-14 |
| 1225659394 | Amanda Lynn Wilburn | Registered Nurse | 5504 Plantersville Pl, Myrtle Beach, SC 29579-3671 | 2020-04-30 |
| 1528689635 | Christopher David Headley | Registered Nurse | 2887 Ophelia Way, Myrtle Beach, SC 29577-6784 | 2020-04-29 |
| 1205486164 | Deborah Susan Tate | Registered Nurse | 4347 Lake Front Blvd, Myrtle Beach, SC 29588-9666 | 2019-09-12 |
| 1316434822 | Kristy Lynn Strickland | Registered Nurse | 2102 Cromley Cir, Myrtle Beach, SC 29577-3187 | 2018-04-19 |
| 1548760846 | Natalie Sophia Boyle | Registered Nurse | 344 Whipple Run Loop, Myrtle Beach, SC 29588-5515 | 2018-02-14 |
| 1912386095 | Diane Dupuis | Registered Nurse | 490 Saluda River Rd, Myrtle Beach, SC 29588-7457 | 2015-05-22 |
| 1568859379 | Ashlee Benbow | Registered Nurse | 6082 Friendship Ln, Myrtle Beach, SC 29588-8709 | 2015-04-20 |
| 1679970156 | Michelle Ann Mennecke-smith | Registered Nurse | 552 Southern Pines Dr, Myrtle Beach, SC 29579-1238 | 2014-11-26 |
| 1316349566 | Colleen Sortore | Registered Nurse | 2171 Brewster Dr Unit 1223, Myrtle Beach, SC 29577-1784 | 2014-09-18 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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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.