LATOSHA LARKIN CORLEY (NPI# 1376193383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376193383 |
| Entity Type | Individual |
| Full Name | LATOSHA LARKIN CORLEY |
| Practice Address |
3000 Saint Matthews Rd Orangeburg SC 29118-1442 |
| Practice Telephone | 8033952200 |
| Mailing Telephone | 8033952200 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
22980 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3000 SAINT MATTHEWS RD |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567251 | John Richard Ross | Surgery | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2005-06-09 |
| 1831729623 | Edisto Regional Health Services Inc | Clinic/Center | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2020-01-21 |
| 1346870268 | Staccey Bascue | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2020-01-20 |
| 1376185314 | Courtney L Snell | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-10-10 |
| 1447724679 | Olando Antonio Singletary | Anesthesiology | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-22 |
| 1346714847 | Amy Harig | Pharmacist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-17 |
| 1336613843 | Kalyn Collier | Pharmacist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-17 |
| 1841763786 | Sean Newbry | Nurse Anesthetist, Certified Registered | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-03 |
| 1912479924 | Kara Charnelle Edmond | Nurse Anesthetist, Certified Registered | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-02 |
| 1548732522 | Thomas Daniel Martin Jr. | Nurse Anesthetist, Certified Registered | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750786067 | Catherine Badillo | Nurse Practitioner | 235 Sickletown Rd, Orangeburg, NY 10962-1011 | 2014-10-29 |
| 1114423175 | Stacie Newman Bryant | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2018-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043152 | Lorenzo Ford | Nurse Practitioner | 20 Pioneer Ct, Sumter, SC 29150-9559 | 2020-08-13 |
| 1407484041 | Vistina Metts Johnson | Nurse Practitioner | 121 Executive Center Dr Ste 131, Columbia, SC 29210-8492 | 2020-03-30 |
| 1154969012 | William R. Andrews | Nurse Practitioner | 1516 Old Trolley Rd Ste 101, Summerville, SC 29485-8345 | 2019-12-11 |
| 1265078570 | Paula Nicole Allen | Nurse Practitioner | 133 Beaver Dam Rd, Columbia, SC 29223-3101 | 2019-11-21 |
| 1306497557 | Dina Martin | Nurse Practitioner | 171 Monroe Ln, Lexington, SC 29072-3904 | 2019-09-27 |
| 1053801720 | Kristin Marie Scarborough | Nurse Practitioner | 1470 Tobias Gadson Blvd Ste 203, Charleston, SC 29407-4925 | 2018-05-17 |
| 1922511054 | Anne Louise Grogan-hanford | Nurse Practitioner | 1317 Quail Vly W, Columbia, SC 29212-1554 | 2017-11-11 |
| 1972941821 | Jeanne Cameron Gonzalez | Nurse Practitioner | 504 Huntington Rd, Greenville, SC 29615-4212 | 2013-06-12 |
| 1861676942 | Mary Ellen Sullivan | Nurse Practitioner | 304 E Market St, Agape Physicians Care, Bennettsville, SC 29512-3137 | 2007-12-25 |
| 1508839739 | Vanessa Thompson | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2006-02-08 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
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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.