MRS. AMY BETH WILKERSON (NPI# 1518446517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518446517 |
| Entity Type | Individual |
| Full Name | MRS. AMY BETH WILKERSON |
| Other Name | AMY BETH LIBERA |
| Credential | FNP |
| Practice Address |
1114 N Main St Summerville SC 29483-7326 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8432128070 |
| Practice Fax Number | 8432128071 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22109 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP5419 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535406 | Amy Wilkerson | Massage Therapist | 605 Poplar Grove Pl, Summerville, SC 29483-1681 | 2020-10-11 |
| 1801262043 | Amy Wilkerson | Social Worker | 483 Quincy St Apt 4, Brooklyn, NY 11221-1578 | 2015-08-11 |
| 1194920603 | Amy Nicole Wilkerson | Family Medicine | 200 15th Ave E # Cwb-2s, Seattle, WA 98112-5260 | 2007-06-15 |
| 1164847364 | Amy Wilkerson | Social Worker | 1332 Pickens St, Columbia, SC 29201-3430 | 2014-02-25 |
| Street Address |
1114 N MAIN ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-7326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457316317 | Edward A Neilsen | Family Medicine | 1114 N Main St, Summerville, SC 29483-7326 | 2006-04-20 |
| 1659806446 | Mary E. Trephan | Physician Assistant | 1114 N Main St, Summerville, SC 29483-7326 | 2017-04-29 |
| 1114463288 | Ian Alexander Neuhaus | Physician Assistant | 1114 N Main St, Summerville, SC 29483 | 2017-01-13 |
| 1942664354 | Cady Kerr | Nurse Practitioner | 1114 N Main St, Summerville, SC 29483-7326 | 2016-04-12 |
| 1891159794 | Keyonna Williams | Nurse Practitioner | 1114 N Main St, Summerville, SC 29483-7326 | 2016-04-07 |
| 1144689431 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 1114 N Main St, Summerville, SC 29483-7326 | 2016-02-16 |
| 1144609173 | Roper Saint Francis Physicians Network | Internal Medicine | 1114 N Main St, Summerville, SC 29483 | 2015-05-22 |
| 1033476155 | Anthony Joel Yuen | Family Medicine | 1114 N Main St, Summerville, SC 29483-7326 | 2012-04-13 |
| 1164798633 | Loraine Michelle Heller | Emergency Medicine | 1114 N Main St, Summerville, SC 29483-7326 | 2012-03-28 |
| 1174786198 | Melissa Rose Ellis-yarian | Family Medicine | 1114 N Main St, Summerville, SC 29483-7326 | 2008-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1336649953 | Rochelle D. Elayda | Nurse Practitioner | 1101 Old Trolley Rd Ste 100, Summerville, SC 29485-5294 | 2018-02-20 |
| 1558877357 | Christina Marie Cottrell | Nurse Practitioner | 679 Orangeburg Rd Unit F, Summerville, SC 29483-9038 | 2017-12-17 |
| 1659897858 | Brandon Michael Williams | Nurse Practitioner | 109 Carroll Ct, Summerville, SC 29483-4227 | 2017-08-18 |
| 1477927663 | Alma Boone | Nurse Practitioner | 124 Valentin Dr, Summerville, SC 29483-8439 | 2015-11-25 |
| 1033526231 | Shenise Seabrook | Nurse Practitioner | 9656 Pebble Creek Blvd, Summerville, SC 29485-8946 | 2014-07-20 |
| 1952730889 | Brenda Veatch-haynes | Nurse Practitioner | 123 Martin St, Summerville, GA 30747-1260 | 2013-11-01 |
| 1477829703 | Life Center Family Medicine | Nurse Practitioner | 679 Orangeburg Rd Ste F, Summerville, SC 29483-8914 | 2012-03-30 |
| 1497053656 | Kimberly Vaughn | Nurse Practitioner | 138 Mitchell Dr, Summerville, GA 30747-6642 | 2011-03-11 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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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.