MRS. KACIE LAUREN BLACKWELL BERRY (NPI# 1225675218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225675218 |
| Entity Type | Individual |
| Full Name | MRS. KACIE LAUREN BLACKWELL BERRY |
| Credential | RN |
| Practice Address |
101 East Wood Street Spartanburg SC 29303 |
| Mailing Address |
101 E Wood St Spartanburg SC 29303-3040 |
| Practice Telephone | 8645608283 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
217220 | SC | Nursing Service Providers |
| Street Address |
101 EAST WOOD STREET |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205892494 | Drew C. Monitto | Radiology | 101 East Wood Street, Dept of Radiation Oncology, Spartanburg, SC 29303-3040 | 2006-04-25 |
| 1689173460 | Spartanburg Medical Center | Family Medicine | 101 East Wood Street, Spartanburg, SC 29303 | 2018-02-07 |
| 1679788277 | Matthew Chaney | Radiology | 101 East Wood Street, Spartanburg, SC 29303 | 2007-05-14 |
| 1033324611 | Kelan J. Brown | Radiology | 101 East Wood Street, Spartanburg, SC 29303 | 2007-05-14 |
| 1093806465 | Julian C Josey Jr. | Radiology | 101 East Wood Street, Dept of Radiation, Spartanburg, SC 29303-3040 | 2006-09-28 |
| 1114018470 | Spartanburg Radiation Oncology Associates, Pa | Radiology | 101 East Wood Street, Radiation Oncology, Spartanburg, SC 29303-3040 | 2006-09-28 |
| 1912938432 | Spartanburg Medical Center | Internal Medicine | 101 East Wood Street, Suite 401, Spartanburg, SC 29303-3040 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559513 | Michael P Quaiel | Registered Nurse | 130 W Forest Dr, Spartanburg, SC 29301-2443 | 2020-05-11 |
| 1730701996 | Jacqueline Martin-garrett | Registered Nurse | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783988 | Charlotte H Jacobs | Registered Nurse | 3208 Sand Oak Dr, Mc Bee, SC 29101-9404 | 2020-09-03 |
| 1215563572 | Jennifer Fuller Ross | Registered Nurse | 3481 Six Mile Hwy, Central, SC 29630-9526 | 2020-03-19 |
| 1902381486 | Adam Patrick Shindle | Registered Nurse | 109 Joseph Fletcher Way, Simpsonville, SC 29681-5467 | 2018-10-01 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1285189522 | Charles Sydney Schleich | Registered Nurse | 58 Monte Sano Dr, Hanahan, SC 29410-8618 | 2016-08-16 |
| 1710342225 | Kala Windham | Registered Nurse | 186 Macklin Ln, North Augusta, SC 29860-9012 | 2015-12-28 |
| 1609258110 | Kevin Barkley | Registered Nurse | 1161 Chivalry St, Sumter, SC 29154-7412 | 2015-06-19 |
| 1235570599 | Jennifer Horton Gilreath | Registered Nurse | 219 Piedmont Hwy, Piedmont, SC 29673-8541 | 2013-07-15 |
| 1649536863 | Clara L Tarbush | Registered Nurse | 1131 Muddy Ford Rd, Chapin, SC 29036-7862 | 2012-04-02 |
| 1356553051 | Mary Pratt Keilty | Registered Nurse | 25 Welwyn Pl, Columbia, SC 29212-2891 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on MRS. KACIE LAUREN BLACKWELL BERRY.
| 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.