TASHA LEE (NPI# 1417374992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417374992 |
Entity Type | Individual |
Full Name | TASHA LEE |
Credential | DNP, FNP-BC |
Practice Address |
2376 Cypress Cir Suite 300 Conway SC 29526-8964 |
Practice Telephone | 8433477222 |
Practice Fax Number | 8433473305 |
Mailing Telephone | 8433477222 |
Mailing Fax Number | 8433473305 |
Enumeration Date | 2014-03-24 |
Last Update Date | 2014-05-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 102869 | SC | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18824 | SC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659854974 | Tasha Nichole Lee | Counselor | 10601 Grant Rd Ste 119, Houston, TX 77070-4449 | 2018-09-12 |
Street Address |
2376 CYPRESS CIR SUITE 300 |
City | CONWAY |
State | SC |
Zip Code | 29526-8964 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245231372 | Andrew J Gresko | Internal Medicine | 2376 Cypress Cir, Suite 102, Conway, SC 29526-8964 | 2005-08-10 |
1033534300 | South Carolina Podiatric Physicians and Surgeons Group,llc | Podiatrist | 2376 Cypress Cir, Ste 201, Conway, SC 29526-8964 | 2014-02-24 |
1255622122 | Shan Fu | Physician Assistant | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2011-04-27 |
1518268317 | Conway Hospital Community Services | Surgery | 2376 Cypress Cir, Suite 103, Conway, SC 29526-8964 | 2010-11-10 |
1851600753 | Todd Tupis | Orthopaedic Surgery | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2010-09-27 |
1447497540 | Conway Hospital Inc | Internal Medicine | 2376 Cypress Cir, Suite 202, Conway, SC 29526-8964 | 2009-01-12 |
1053584888 | Hafez Hayek | Internal Medicine | 2376 Cypress Cir, Suite 100, Conway, SC 29526-8964 | 2008-04-13 |
1245402924 | Peter N Ramsey | Orthopaedic Surgery | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2008-04-02 |
1336327741 | Christopher A Kearney | Physician Assistant | 2376 Cypress Cir, Ste 300, Conway, SC 29526-8995 | 2008-02-07 |
1114139854 | Erin Watson | Specialist | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2007-05-04 |
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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 | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
1316566607 | Shannon Busby | Nurse Practitioner | 1505 Winterbrook Dr, Conway, AR 72034-3564 | 2020-04-16 |
1538798087 | Glenda Darlene Gore | Nurse Practitioner | 17 Kali Ct, Conway, AR 72032-9477 | 2020-04-06 |
1265071427 | Dana Aysha Niederhauser | Nurse Practitioner | 1250 Littlewood Cv, Conway, AR 72032-8986 | 2020-01-04 |
1285287680 | Joy Griffith | Nurse Practitioner | 2907 Percy Cir, Conway, AR 72034-5508 | 2019-07-24 |
1366094260 | Kerry Kathryn Lewis | Nurse Practitioner | 1910 Royal Dr, Conway, AR 72034-7346 | 2019-07-10 |
1487113148 | Laura B Kelly | Nurse Practitioner | 2300 Linda Dr, Conway, AR 72032-8999 | 2019-03-12 |
1780141069 | Ashleigh Lynn Kinon | Nurse Practitioner | 2065 Woodlawn Dr, Conway, SC 29526-7703 | 2019-02-22 |
1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
Find all providers in CONWAY |
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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.