DALE LULLO (NPI# 1245720101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245720101 |
| Entity Type | Individual |
| Full Name | DALE LULLO |
| Credential | AGACNP |
| Practice Address |
3000 Saint Matthews Rd Orangeburg SC 29118 |
| Mailing Address |
1431 Jahnz Ave Summerville SC 29485-3319 |
| Practice Telephone | 8434312000 |
| Mailing Telephone | 8433456998 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 21933 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3000 SAINT MATTHEWS RD |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567251 | John Richard Ross | Surgery | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2005-06-09 |
| 1831729623 | Edisto Regional Health Services Inc | Clinic/Center | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2020-01-21 |
| 1346870268 | Staccey Bascue | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2020-01-20 |
| 1376185314 | Courtney L Snell | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-10-10 |
| 1376193383 | Latosha Larkin Corley | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-09-12 |
| 1447724679 | Olando Antonio Singletary | Anesthesiology | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-22 |
| 1346714847 | Amy Harig | Pharmacist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-17 |
| 1336613843 | Kalyn Collier | Pharmacist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-17 |
| 1841763786 | Sean Newbry | Nurse Anesthetist, Certified Registered | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-03 |
| 1912479924 | Kara Charnelle Edmond | Nurse Anesthetist, Certified Registered | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255941571 | Megan Millhouse | Nurse Practitioner | 670 Medway Dr, Orangeburg, SC 29118-2823 | 2020-08-01 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1750511960 | Eileen Elizabeth Buckley | Nurse Practitioner | 32 Fairview Lane, Orangeburg, NY 10962 | 2009-07-22 |
| 1144245739 | Tammy A Hightower | Nurse Practitioner | 620 Magnolia St, Orangeburg, SC 29115-6980 | 2006-07-13 |
| 1154361384 | Robin E Jordan | Nurse Practitioner | 3709 Magnolia St, Sc Nephrology and Hypertension, Orangeburg, SC 29118-1403 | 2006-06-07 |
| 1962463521 | Gloria Reed | Nurse Practitioner | 1727 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-03-31 |
| 1558985150 | Faryal Majid Glootz | Nurse Practitioner | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2020-05-31 |
| 1346870268 | Staccey Bascue | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2020-01-20 |
| 1376185314 | Courtney L Snell | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-10-10 |
| 1902391469 | Ala Bianca Naomi Lucky | Nurse Practitioner | 1773 Village Park Dr, Orangeburg, SC 29118-2475 | 2018-06-27 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
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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.