MS. JACQUELINE ELAINE KENNEBREW (NPI# 1215278643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215278643 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE ELAINE KENNEBREW |
| Credential | RN |
| Practice Address |
7500 Brookfield Rd Columbia SC 29223-2206 |
| Practice Telephone | 8036992800 |
| Practice Fax Number | 8034190294 |
| Mailing Telephone | 8036992800 |
| Mailing Fax Number | 8034190294 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R66767 | SC | Nursing Service Providers |
| Street Address |
7500 BROOKFIELD RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598942344 | Laura T Shuman | Occupational Therapist | 7500 Brookfield Rd, Columbia, SC 29223-2206 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003460668 | Laureen Mitchell | Registered Nurse | 2100 Bull St., Columbia, SC 29201-2104 | 2019-07-31 |
| 1407290364 | Kathleen Mary Clark | Registered Nurse | 2800 Ashland Rd, Columbia, SC 29210-5010 | 2013-04-23 |
| 1861835860 | Kathy Melton Jackson | Registered Nurse | 6051 Wescott Rd, Columbia, SC 29212-1408 | 2013-04-10 |
| 1942643937 | Joanna Leanne Stanek | Registered Nurse | 6706 Nursery Rd, Columbia, SC 29212-2020 | 2013-04-10 |
| 1831430024 | Arlene Serveance | Registered Nurse | 4751 Hard Scrabble Rd, Columbia, SC 29229-9144 | 2013-03-13 |
| 1881935211 | Karen L Meyers | Registered Nurse | 8040 Hunt Club Rd, Columbia, SC 29223-2602 | 2013-03-11 |
| 1508106972 | Anne Katherine Bedlek | Registered Nurse | 1300 Clemson Rd, Columbia, SC 29229-8701 | 2013-02-22 |
| 1417297060 | Stacy Usher Harris | Registered Nurse | 200 Summit Pkwy, Columbia, SC 29229-9058 | 2013-02-19 |
| 1801136445 | Alice Howell Carter | Registered Nurse | 1001 Longtown Rd, Columbia, SC 29229-9482 | 2013-02-19 |
| 1225377179 | Tammie J. Singleton | Registered Nurse | 2740 Alpine Rd, Columbia, SC 29223-1910 | 2013-02-12 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on MS. JACQUELINE ELAINE KENNEBREW.
| 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.