DANA LILES (NPI# 1356990451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356990451 |
Entity Type | Individual |
Full Name | DANA LILES |
Credential | NP |
Practice Address |
502 W 5th North St Summerville SC 29483-6105 |
Practice Telephone | 8433715433 |
Mailing Telephone | 8433715433 |
Enumeration Date | 2019-09-11 |
Last Update Date | 2019-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 75048 | SC | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23265 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
502 W 5TH NORTH ST |
City | SUMMERVILLE |
State | SC |
Zip Code | 29483-6105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356985196 | Connie Moody | Nurse Practitioner | 502 W 5th North St, Summerville, SC 29483-6105 | 2019-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
Find all providers in zip 29483 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
1336649953 | Rochelle D. Elayda | Nurse Practitioner | 1101 Old Trolley Rd Ste 100, Summerville, SC 29485-5294 | 2018-02-20 |
1558877357 | Christina Marie Cottrell | Nurse Practitioner | 679 Orangeburg Rd Unit F, Summerville, SC 29483-9038 | 2017-12-17 |
1659897858 | Brandon Michael Williams | Nurse Practitioner | 109 Carroll Ct, Summerville, SC 29483-4227 | 2017-08-18 |
1477927663 | Alma Boone | Nurse Practitioner | 124 Valentin Dr, Summerville, SC 29483-8439 | 2015-11-25 |
1033526231 | Shenise Seabrook | Nurse Practitioner | 9656 Pebble Creek Blvd, Summerville, SC 29485-8946 | 2014-07-20 |
1952730889 | Brenda Veatch-haynes | Nurse Practitioner | 123 Martin St, Summerville, GA 30747-1260 | 2013-11-01 |
1477829703 | Life Center Family Medicine | Nurse Practitioner | 679 Orangeburg Rd Ste F, Summerville, SC 29483-8914 | 2012-03-30 |
1497053656 | Kimberly Vaughn | Nurse Practitioner | 138 Mitchell Dr, Summerville, GA 30747-6642 | 2011-03-11 |
Find all providers in SUMMERVILLE |
City | SUMMERVILLE |
Zip Code | 29483 |
Please comment or provide details below to improve the information on DANA LILES.
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.