EDITH BOSTIC (NPI# 1235773326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235773326 |
| Entity Type | Individual |
| Full Name | EDITH BOSTIC |
| Credential | PMHNP |
| Practice Address |
409 Paul St Conway SC 29527-5823 |
| Practice Telephone | 8432671270 |
| Mailing Telephone | 8432671270 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
211413 | SC | Nursing Service Providers |
| Street Address |
409 PAUL ST |
| City | CONWAY |
| State | SC |
| Zip Code | 29527-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245511435 | Rocky Mountain Holdings LLC | Ambulance | 1700 Airport Road, Conway, SC 29527 | 2011-09-01 |
| 1295946838 | Bonnie Jean Miller | Occupational Therapy Assistant | 3300 4th. Ave., Conway, SC 29527 | 2007-05-25 |
| 1255987269 | Mansi D Patel | In Home Supportive Care | 2408 Westbrook Dr, Conway, SC 29527-3150 | 2019-08-15 |
| 1104862788 | James R Bean | Physician Assistant | 1013 Dunraven Ct, Conway, SC 29527-3154 | 2006-06-21 |
| 1194255315 | Canisha Sharron Rice | Home Health | 1213 Cymmer Ct, Conway, SC 29527-3165 | 2017-06-20 |
| 1578968988 | Pshanda Chante Pugh | Counselor | 1208 Dunraven Ct, Conway, SC 29527-3170 | 2014-10-28 |
| 1205457017 | Heather Melton Lee | Specialist/Technologist | 252 Maidens Choice Rd, Conway, SC 29527-3418 | 2020-05-04 |
| 1093336760 | Chelsea Kamens | Registered Nurse | 357 Shallow Cove Dr, Conway, SC 29527-3458 | 2020-05-04 |
| 1538628193 | Jasmine L Gaddy | Home Health | 728 Rose Moss Rd, Conway, SC 29527-3579 | 2019-03-13 |
| 1801213327 | Tonya Peavy | Registered Nurse | 729 Brown Swamp Rd, Conway, SC 29527-3636 | 2014-03-21 |
| Find all providers in zip 29527 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598851149 | Rosalie Farace | Registered Nurse | 164 Waccamaw Medical Park Drive, Conway, SC 29526 | 2006-10-04 |
| 1083251771 | Susan Scott Church | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2019-12-02 |
| 1881158764 | Beth Ann Anrold | Registered Nurse | 25 W Main St, Conway, NH 03818-6142 | 2019-01-25 |
| 1316394364 | Lisa Dubose | Registered Nurse | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2016-05-19 |
| 1598108789 | Donna Holt | Registered Nurse | 350 Salem Rd, Suite 1, Conway, AR 72034-7525 | 2013-04-08 |
| 1629247069 | Caroline Groom | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2008-02-28 |
| 1154422616 | Paulette W Hemingway | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2006-09-26 |
| 1962424119 | Bonnie B Corrigan | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2006-07-24 |
| 1235155011 | Sarah Gamble Reynolds | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2006-07-14 |
| 1982620795 | Gary Curtis Chandler | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2006-07-14 |
| Find all providers in CONWAY | ||||
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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.