MS. STACEY ANNE BULFINCH IDICA (NPI# 1326381294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326381294 |
| Entity Type | Individual |
| Full Name | MS. STACEY ANNE BULFINCH IDICA |
| Credential | NP |
| Practice Address |
216 Edgefield Ave Nw Aiken SC 29801-3910 |
| Practice Telephone | 8036484224 |
| Practice Fax Number | 8036417600 |
| Mailing Telephone | 8036484224 |
| Mailing Fax Number | 8036417600 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 18150 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
216 EDGEFIELD AVE NW |
| City | AIKEN |
| State | SC |
| Zip Code | 29801-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306834247 | Henry W Tam | Family Medicine | 216 Edgefield Ave Nw, Aiken, SC 29801-3910 | 2005-10-13 |
| 1972148708 | Robert Land | Physician Assistant | 216 Edgefield Ave Nw, Aiken, SC 29801-3910 | 2019-11-15 |
| 1265666861 | Crystal Marie Devivo | Physician Assistant | 216 Edgefield Ave Nw, Aiken, SC 29801-3910 | 2009-05-11 |
| 1215105085 | Mary Regina Dortenzo | Nurse Practitioner | 216 Edgefield Ave Nw, Aiken, SC 29801-3910 | 2008-02-14 |
| 1043296700 | Aiken Emergency Physicians, Pa | Family Medicine | 216 Edgefield Ave Nw, Aiken, SC 29801-3910 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| Find all providers in zip 29801 | ||||
| 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 |
|---|---|---|---|---|
| 1174907893 | Brittany Minor Taylor | Nurse Practitioner | 755 Medical Park Drive, Aiken, SC 29801-6306 | 2015-07-13 |
| 1093776577 | Martha E Jennings | Nurse Practitioner | 850 Aiken Mall Dr, Aiken, SC 29803-7689 | 2006-04-01 |
| 1457965501 | Lenda Reashell Barrett | Nurse Practitioner | 775 Medical Park Dr, Aiken, SC 29801-6306 | 2020-09-05 |
| 1760906994 | Krystal Robinson | Nurse Practitioner | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2017-07-30 |
| 1841692241 | Kayla Cochran | Nurse Practitioner | 415 Barnwell Ave Nw, Aiken, SC 29801-3937 | 2014-09-17 |
| 1013359702 | Lindsay K Pizzuto | Nurse Practitioner | 415 Barnwell Ave Nw, Aiken, SC 29801-3937 | 2013-07-23 |
| 1952428237 | Susan Wayt | Nurse Practitioner | 415 Barnwell Ave Nw, Aiken, SC 29801 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466145 | Ashley Anne Smith | Nurse Practitioner | 581 Hinson Dr Apt 834, Myrtle Beach, SC 29579-4460 | 2020-10-30 |
| 1508473232 | Terry Kaye Hanks Busby | Nurse Practitioner | 1103 Harpers Way, Anderson, SC 29621-3519 | 2020-09-27 |
| 1083229439 | Melissa Lynn Doering | Nurse Practitioner | 1054 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3153 | 2020-09-12 |
| 1518572353 | Lucretia D Sanders | Nurse Practitioner | 4201 Grand St Apt L, Columbia, SC 29203-6668 | 2020-09-09 |
| 1871106955 | Ashley Buntura | Nurse Practitioner | 224 Haley Brooke Dr, Conway, SC 29526-6399 | 2020-08-28 |
| 1407467038 | Marcus Tedder | Nurse Practitioner | 1005 E Cheves St Ste 100, Florence, SC 29506-2707 | 2020-08-17 |
| 1255941571 | Megan Millhouse | Nurse Practitioner | 670 Medway Dr, Orangeburg, SC 29118-2823 | 2020-08-01 |
| 1790395101 | Natisha Denise Capers-howard | Nurse Practitioner | 4416 Rosabelle Rd, Johns Island, SC 29455-7301 | 2020-08-01 |
| 1760091482 | Melinda Kathryn Galford | Nurse Practitioner | 320 Falls St Apt 303, Greenville, SC 29601-2830 | 2020-07-28 |
| 1346862018 | Elevate Physical Medicine LLC | Nurse Practitioner | 700 Squires Pt Ste B, Duncan, SC 29334-8879 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
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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.