JAMIE LYNN KILCOYNE


Address: 120 Heywood Ave, Spartanburg, SC 29302-1210
Phone: 8645739595

JAMIE LYNN KILCOYNE (NPI# 1316293947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316293947
Entity Type Individual
Full Name JAMIE LYNN KILCOYNE
Credential NP
Practice Address 120 Heywood Ave
Spartanburg
SC 29302-1210
Mailing Address Po Box 743070
Atlanta
GA 30374-3070
Practice Telephone 8645739595
Mailing Telephone 8645604304
Mailing Fax Number 8645604413
Enumeration Date 2012-08-01
Last Update Date 2019-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 17898 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC NP2102 05
SC MEDICARE PIN SCE6856084 01
SC RAILROAD MEDICARE P01110426 01

Office Location

Street Address 120 HEYWOOD AVE
City SPARTANBURG
State SC
Zip Code 29302-1210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184694168 Scott A Coley Family Medicine 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 2006-01-24
1164865473 Janessa M. Perez-motlis Family Medicine 120 Heywood Ave, Spartanburg, SC 29302-1210 2013-04-17
1306000948 Vincent C Slater Family Medicine 120 Heywood Ave, Spartanburg, SC 29302 2008-07-14
1356476584 Spartanburg Regional Healthcare District Durable Medical Equipment & Medical Supplies 120 Heywood Ave, Suite 400, Spartanburg, SC 29302-1210 2007-02-21
1003900143 Spartanburg Medical Center Internal Medicine 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 2006-10-03
1558381541 Spartanburg Medical Center Home Health 120 Heywood Ave, Suite 300, Spartanburg, SC 29302-1210 2006-07-20
1942241781 Spartanburg Regional Med Ctr Family Medicine 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 2006-06-10
1851332696 Spartanburg Regional Med Ctr Family Medicine 120 Heywood Ave, Spartanburg, SC 29302-1210 2006-06-10
1194779017 Philip A Mahoney Jr. Family Medicine 120 Heywood Ave, Spartanburg, SC 29302-1210 2006-05-22
1356393680 George Liston Bass Internal Medicine 120 Heywood Ave, Ste 200, Spartanburg, SC 29302-1210 2006-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083226476 Healthstat Inc Grace Management Preventive Medicine 951 South Pin Street, Suite 200, Spartanburg, SC 29302 2020-08-18
1467978304 Katherine Tomes Speech-Language Pathologist 355 Cedar Springs Road, Spartanburg, SC 29302 2017-08-22
1396291167 Brent Timothy Smith Specialist 151 Ribault Street Suite 200, Spartanburg, SC 29302 2016-08-31
1376995159 Natalie Nicole Kellett Nurse Practitioner 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 2016-07-06
1902273808 Tamieka Latrell Alston-gibson Nurse Practitioner 101 North Pine Street, Suite 210, Spartanburg, SC 29302 2015-08-26
1700209905 Robert W Wyatt Pharmacist 203 Cedar Springs Rd, Spartanburg, SC 29302 2014-01-24
1952735748 James Sidney Fulmer Sr. Obstetrics & Gynecology 167 Ivy Court, Spartanburg, SC 29302 2013-08-28
1053651828 Jennifer Geddes Hall Counselor 101 N Pine St Ste 210, Spartanburg, SC 29302 2013-02-15
1487875514 Park Place Spartanburg Assisted Living Facility 2720 Country Clud Road, Spartanburg, SC 29302 2007-05-02
1740304401 Leon Derek Herring Dentist 270 Cedar Spring Rd, Spartanburg, SC 29302 2007-03-19
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326542887 Timekia Renee Hill Nurse Practitioner 420 Farnsworth Rd, Spartanburg, SC 29301-1626 2018-03-20
1144697384 Clint Price Nurse Practitioner 2030 North Church Street, Lung and Chest Medical Associates, Spartanburg, SC 29303-3909 2015-08-24
1417271677 Leslie H. Kennedy Nurse Practitioner 101 East Street, Suite 401, Spartanburg, SC 29303-3040 2010-03-17
1649352873 Helen Rowena Valentine Nurse Practitioner 151 E Wood St, Spartanburg, SC 29303-3016 2006-10-19
1851373021 Kim Waldenmaier Nurse Practitioner 101 E Wood St Ste 330, Spartanburg, SC 29303-3040 2005-11-15
1033738323 Emily Randall Caldwell Nurse Practitioner 322 N Pine St, Spartanburg, SC 29302-1631 2020-04-16
1548896616 April Leanne Gossett Nurse Practitioner 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 2020-03-20
1467086959 Andrew Mccraw Nurse Practitioner 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303-4219 2020-02-24
1689206690 Catherine Lee Jenkins Nurse Practitioner 101 E Wood St, Spartanburg, SC 29303-3040 2020-02-07
1770113920 Jessica Massey Medlin Nurse Practitioner 400 Locust Grv, Spartanburg, SC 29303-4831 2020-01-16
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Competitor

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City SPARTANBURG
Zip Code 29302

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Dataset Information

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.

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