ANACORITA ELLISOR (NPI# 1205257730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205257730 |
| Entity Type | Individual |
| Full Name | ANACORITA ELLISOR |
| Credential | FNP |
| Practice Address |
306 Airport Dr Moncks Corner SC 29461 |
| Mailing Address |
Po Box 390 Huntington WV 25708-0390 |
| Practice Telephone | 3044291088 |
| Mailing Telephone | 3044291088 |
| Mailing Fax Number | 3044293109 |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19635 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 212 N Maple St, Simpsonville, SC 296812313 | 8649622272 |
| Street Address |
306 AIRPORT DR |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972574101 | The Ernest E. Kennedy Center | Clinic/Center | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2006-01-27 |
| 1881207652 | Earnest E Kennedy Center | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2020-08-31 |
| 1689287203 | Ovp Health Care, Inc. | Family Medicine | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2020-08-24 |
| 1275173908 | John Paul Karabees | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2020-01-10 |
| 1255978516 | Rebecca Denny | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-12-05 |
| 1992356232 | Vanessa Ashley Kinney | Nurse Practitioner | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-09-27 |
| 1962067934 | Charmaine Singleton | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-05-06 |
| 1275099582 | Chesley Elise Foxworth | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-02-12 |
| 1851857213 | Alexis Ra'sha Richards | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-02-11 |
| 1730653932 | Mark Wayne Gray | Peer Specialist | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051692 | Debbie Uche Igwilo | Nurse Practitioner | 157 Weeping Cypress Dr, Moncks Corner, SC 29461-6720 | 2020-04-15 |
| 1093343147 | Cortney Herndon | Nurse Practitioner | 302 Meadowlark Ln, Moncks Corner, SC 29461-5916 | 2020-04-01 |
| 1942794250 | Gutembergue Arruda Santos | Nurse Practitioner | 3516 S Live Oak Dr Unit F, Moncks Corner, SC 29461-8762 | 2018-06-20 |
| 1780197822 | Beth Ann Mengelt | Nurse Practitioner | 281 Oglethorpe Cir, Moncks Corner, SC 29461-7469 | 2017-11-12 |
| 1548230220 | Elizabeth Ann Holloway Jensen | Nurse Practitioner | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2006-01-25 |
| 1366078420 | Universal Primary Care & Aesthetics | Nurse Practitioner | 3516 S Live Oak Dr Unit F, Moncks Corner, SC 29461-8762 | 2020-03-19 |
| 1992356232 | Vanessa Ashley Kinney | Nurse Practitioner | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-09-27 |
| 1689233090 | Iman Abdul-ali | Nurse Practitioner | 425 Barony St, Moncks Corner, SC 29461-3128 | 2019-06-10 |
| 1073090965 | Kori A. Frank | Nurse Practitioner | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 | 2018-07-24 |
| 1639687627 | Matthew Christian Story | Nurse Practitioner | 459 N Highway 52, Moncks Corner, SC 29461-3924 | 2018-01-12 |
| Find all providers in MONCKS CORNER | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
Please comment or provide details below to improve the information on ANACORITA ELLISOR.
| 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.