MRS. BOBBIE BOULWARE (NPI# 1275978884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275978884 |
| Entity Type | Individual |
| Full Name | MRS. BOBBIE BOULWARE |
| Credential | RN |
| Practice Address |
1500 Chadford Rd Irmo SC 29063-2038 |
| Practice Telephone | 8034764001 |
| Practice Fax Number | 8034764020 |
| Mailing Telephone | 8034764001 |
| Mailing Fax Number | 8034764020 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
51307 | SC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 51307 | 05 |
| Street Address |
1500 CHADFORD RD |
| City | IRMO |
| State | SC |
| Zip Code | 29063-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306285515 | Lolita Richardson | Psychologist | 1500 Chadford Rd, Irmo, SC 29063-2038 | 2013-06-20 |
| 1457790834 | Sue Kobus Smith | Psychologist | 1500 Chadford Rd, Irmo, SC 29063-2038 | 2013-06-19 |
| 1457799744 | Rosemary Chandler Bowie | Speech-Language Pathologist | 1500 Chadford Rd, Irmo, SC 29063 | 2013-06-07 |
| 1629415658 | Rose Varn Smith | Speech-Language Pathologist | 1500 Chadford Rd, Irmo, SC 29063-2038 | 2013-05-31 |
| 1003253022 | Amber Morris Gross | Speech-Language Pathologist | 1500 Chadford Rd, Irmo, SC 29063-2038 | 2013-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
| 1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
| 1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
| Find all providers in zip 29063 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184067787 | Jeanne Bridges | Registered Nurse | 1040 Bickley Rd, Irmo, SC 29063-9523 | 2013-04-12 |
| 1316380165 | Filomena Stucker | Registered Nurse | 115 Connie Wright Rd, Irmo, SC 29063-8764 | 2013-04-11 |
| 1174966170 | Theresa Parks Courtney | Registered Nurse | 7401 Gibbes St, Irmo, SC 29063-2819 | 2013-04-10 |
| 1821431826 | Linda P Miller | Registered Nurse | 7900 Broad River Rd, Irmo, SC 29063-2355 | 2013-04-10 |
| 1477996411 | Cynthia Cooper Richards | Registered Nurse | 1020 Dutch Fork Rd, Irmo, SC 29063-8822 | 2013-04-09 |
| 1740648427 | Kathryn Burgess | Registered Nurse | 1020 Dutch Fork Rd, Irmo, SC 29063-8822 | 2016-02-09 |
| 1053779181 | Denise Ann Sherman | Registered Nurse | 1020 Dutch Fork Rd, Irmo, SC 29063-8822 | 2016-02-03 |
| 1871964999 | Erika Hardee | Registered Nurse | 7401 Gibbes St, Irmo, SC 29063-2819 | 2015-10-15 |
| 1669840591 | Janelle Strubbe | Registered Nurse | 1020 Dutch Fork Rd, Irmo, SC 29063-8822 | 2015-09-09 |
| 1487022802 | Elizabeth Anne Beaty Baughman | Registered Nurse | 1020 Dutch Fork Rd, Irmo, SC 29063-8822 | 2015-09-02 |
| Find all providers in IRMO | ||||
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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.