MRS. MICHELE LIVELY (NPI# 1437116241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437116241 |
| Entity Type | Individual |
| Full Name | MRS. MICHELE LIVELY |
| Credential | APRN |
| Practice Address |
1301 Creel St Conway SC 29527-5018 |
| Mailing Address |
300 Singleton Ridge Rd Attention Patient Accounting Conway SC 29526-9142 |
| Practice Telephone | 8432484414 |
| Practice Fax Number | 8432483781 |
| Mailing Telephone | 8432346827 |
| Mailing Fax Number | 8432346990 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1075 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0471 | 05 |
| Street Address |
1301 CREEL ST |
| City | CONWAY |
| State | SC |
| Zip Code | 29527-5018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508127911 | Erin Stewart Floyd | Physician Assistant | 1301 Creel St, Conway, SC 29527-5018 | 2012-06-01 |
| 1306166012 | Conway Hospital Community Services | Clinic/Center | 1301 Creel St, Conway, SC 29527-5018 | 2010-06-03 |
| 1336336916 | Conway Hospital Inc | Internal Medicine | 1301 Creel St, Conway, SC 29527-5018 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245511435 | Rocky Mountain Holdings LLC | Ambulance | 1700 Airport Road, Conway, SC 29527 | 2011-09-01 |
| 1295946838 | Bonnie Jean Miller | Occupational Therapy Assistant | 3300 4th. Ave., Conway, SC 29527 | 2007-05-25 |
| 1255987269 | Mansi D Patel | In Home Supportive Care | 2408 Westbrook Dr, Conway, SC 29527-3150 | 2019-08-15 |
| 1104862788 | James R Bean | Physician Assistant | 1013 Dunraven Ct, Conway, SC 29527-3154 | 2006-06-21 |
| 1194255315 | Canisha Sharron Rice | Home Health | 1213 Cymmer Ct, Conway, SC 29527-3165 | 2017-06-20 |
| 1578968988 | Pshanda Chante Pugh | Counselor | 1208 Dunraven Ct, Conway, SC 29527-3170 | 2014-10-28 |
| 1205457017 | Heather Melton Lee | Specialist/Technologist | 252 Maidens Choice Rd, Conway, SC 29527-3418 | 2020-05-04 |
| 1093336760 | Chelsea Kamens | Registered Nurse | 357 Shallow Cove Dr, Conway, SC 29527-3458 | 2020-05-04 |
| 1538628193 | Jasmine L Gaddy | Home Health | 728 Rose Moss Rd, Conway, SC 29527-3579 | 2019-03-13 |
| 1801213327 | Tonya Peavy | Registered Nurse | 729 Brown Swamp Rd, Conway, SC 29527-3636 | 2014-03-21 |
| Find all providers in zip 29527 | ||||
| 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 |
|---|---|---|---|---|
| 1871106955 | Ashley Buntura | Nurse Practitioner | 224 Haley Brooke Dr, Conway, SC 29526-6399 | 2020-08-28 |
| 1861986556 | Cynthia Mcgee | Nurse Practitioner | White Mountain Community Health Center, 298 White Mountain Highway, Conway, NH 03818 | 2018-06-18 |
| 1336682780 | Kimberly Marie Jackson | Nurse Practitioner | 128 Professional Park Dr Unit B, Conway, SC 29526-9260 | 2016-12-02 |
| 1912320946 | Jamie Zimmerman | Nurse Practitioner | 222 E Dave Ward Dr, Conway, AR 72032-7120 | 2014-01-27 |
| 1407170889 | Adrienne Friedly | Nurse Practitioner | 2100 Meadowlake Rd, Suite 10, Conway, AR 72032-2561 | 2010-03-15 |
| 1699955880 | Conway Hospital, Inc. | Nurse Practitioner | 2376 Cypress Cir, Ste 203, Conway, SC 29526-8994 | 2007-11-06 |
| 1437258191 | Deborah L Hipp | Nurse Practitioner | 152 Waccamaw Medical Park Dr, Conway, SC 29526-8901 | 2006-09-21 |
| 1942317037 | Donna P Evans | Nurse Practitioner | 834 Farrar Dr, Conway, SC 29526-8747 | 2006-08-24 |
| 1699763441 | Reda Denise Reed | Nurse Practitioner | 1700 Altus St, Ste 110, Conway, AR 72032-4299 | 2005-10-06 |
| 1023006863 | Charlotte L Sloan | Nurse Practitioner | 128a Professional Park Dr, Agape Physicians Care, Conway, SC 29526-9260 | 2005-10-06 |
| 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.