LIZZIE S HANNIBAL (NPI# 1437556875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437556875 |
| Entity Type | Individual |
| Full Name | LIZZIE S HANNIBAL |
| Credential | CDE |
| Practice Address |
3000 Saint Matthews Rd Orangeburg SC 29118-1442 |
| Mailing Address |
Po Box 1245 Orangeburg SC 29116-1245 |
| Practice Telephone | 8033952200 |
| Practice Fax Number | 8033952237 |
| Mailing Telephone | 8033954497 |
| Mailing Fax Number | 8033952237 |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2015-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
64789 | SC | Nursing Service 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 |
| 1376193383 | Latosha Larkin Corley | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-09-12 |
| 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 |
| 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 | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356543425 | Stephenie Brown | Registered Nurse | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1336659788 | Lori Faith Mundy | Registered Nurse | 905 Pope St, Newberry, SC 29108-1928 | 2017-10-11 |
| 1679093462 | Lisa Moore Tucker | Registered Nurse | 5 Richland Medical Park Dr Ste 305, Columbia, SC 29203-6863 | 2017-06-22 |
| 1912365693 | Traci Monique Ray | Registered Nurse | 8409 Old Carriage Ct, North Charleston, SC 29420-8341 | 2016-02-09 |
| 1740595727 | Theresa B Feiner | Registered Nurse | 721 Park Ave Se, Aiken, SC 29801-4515 | 2010-08-13 |
| 1104950088 | Minnie Maxine Cleveland | Registered Nurse | 9 Richland Medical Park - Suite 305, Palmetto Health Richland - Diabetes Education, Columbia, SC 29203-6863 | 2007-03-15 |
| 1194859991 | Nell S Hair | Registered Nurse | Palmetto Health Baptist Diabetes Education, 1333 Taylor Street Suite 4 E, Columbia, SC 29201-2923 | 2007-03-15 |
| 1730115395 | Sherye Nicole Epps | Registered Nurse | 2012 Glenmore Way, Florence, SC 29505-6851 | 2006-06-24 |
| 1427683986 | Kathy Smith | Registered Nurse | 1226 Spring St, Greenwood, SC 29646-3835 | 2020-03-05 |
| 1770118242 | Karen Lynn Martin | Registered Nurse | 1226 Spring St, Greenwood, SC 29646-3835 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
Please comment or provide details below to improve the information on LIZZIE S HANNIBAL.
| 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.