JEANA NICOLE RICHARDSON (NPI# 1376103564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376103564 |
| Entity Type | Individual |
| Full Name | JEANA NICOLE RICHARDSON |
| Practice Address |
1931 Industrial Park Rd Conway SC 29526-5482 |
| Mailing Address |
262 Oak Landing Dr Conway SC 29527-7787 |
| Practice Telephone | 8349158800 |
| Mailing Telephone | 8432839807 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
211857 | SC | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 262 Oak Landing Dr, Conway, SC 295277787 | 8432839807 | |
| 300 Singleton Ridge Rd, Conway, SC 295269142 | 8433477111 |
| Street Address |
1931 INDUSTRIAL PARK RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-5482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629049382 | Jill E Michael | Nurse Practitioner | 1931 Industrial Park Rd, Conway, SC 29526-5645 | 2006-01-31 |
| 1588263461 | Phyllis W Douglas | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-10-21 |
| 1265045777 | Stefania Serianni | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-08-25 |
| 1427677863 | Amanda Mcdowell | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-04-15 |
| 1881230464 | Debra Todd | Licensed Practical Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-11-19 |
| 1508401555 | Emily Goad Atkinson | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-11-14 |
| 1790338614 | Susan B Metallo | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-07-19 |
| 1124684733 | Debra L. Toomey | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-05-20 |
| 1982174983 | Kelly Ann Ryder | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2018-12-03 |
| 1982173209 | Alyssa Gideon | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 163WM0102X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Maternal Newborn |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619520202 | Autumn Nicole Anders | Registered Nurse | 247 Motlow School Rd, Campobello, SC 29322-9674 | 2019-07-23 |
| 1558787010 | Laura Hodges | Registered Nurse | 13 Kim St, Greenville, SC 29605-4067 | 2014-03-07 |
| 1013224922 | Denise Faye Corpening | Registered Nurse | 1133 Goffman Rd, Eastover, SC 29044-9198 | 2010-09-13 |
| 1134172950 | Brandy Brandfass | Registered Nurse | 106 Trimley Ct, Goose Creek, SC 29445-7076 | 2006-05-19 |
| 1225007024 | Barbara Helen Davenport | Registered Nurse | 35 Medical Ridge Dr, Greenville, SC 29605-4268 | 2006-03-15 |
| 1912460023 | Jennifer Elaine Mincel | Registered Nurse | 2000 Hampton St, Columbia, SC 29204-1002 | 2019-04-08 |
| 1780143990 | Mary Lana Robinson | Registered Nurse | 1833 Pageland Hwy, Lancaster, SC 29720-7606 | 2019-03-18 |
| 1134642937 | Josephine Mccall Fenton | Registered Nurse | 4050 Bridge View Dr, N Charleston, SC 29405-7488 | 2017-07-24 |
| 1124572599 | Kathy Vidal | Registered Nurse | 2000 Hampton St, Columbia, SC 29204-1002 | 2016-08-15 |
| 1649698424 | Karen Robinson | Registered Nurse | 151 E Wood St, Spartanburg, SC 29303-3016 | 2014-03-31 |
| 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.