JENNIFER D TILLMANN (NPI# 1548578925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548578925 |
| Entity Type | Individual |
| Full Name | JENNIFER D TILLMANN |
| Credential | PH.D. |
| Practice Address |
107 Vista Oaks Dr Suite C Lexington SC 29072-8230 |
| Mailing Address |
59 Eastpine Ct Columbia SC 29212-2484 |
| Practice Telephone | 8039575856 |
| Practice Fax Number | 8039575856 |
| Enumeration Date | 2010-09-19 |
| Last Update Date | 2010-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
851 | SC | Behavioral Health & Social Service Providers |
| Street Address |
107 VISTA OAKS DR SUITE C |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-8230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
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| 1447871363 | Colleen Crawford Cornelius | Psychologist | 740 S Limestone 4th Floor Wing D, Lexington, KY 40536-0001 | 2020-05-01 |
| 1073027173 | Troy Douglas Carr | Psychologist | 809 Massachusetts Ave, Lexington, MA 02420-3900 | 2017-11-28 |
| 1992185565 | Shambra Mulder | Psychologist | 1500 Leestown Rd, Ste 180, Lexington, KY 40511-2045 | 2015-06-09 |
| 1336562842 | Barbara Teague | Psychologist | 2412 Greatstone Pt, Lexington, KY 40504-3274 | 2014-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842865 | Maria Fernanda Dasilva | Psychologist | 2032 Emerald Pines Dr, Tega Cay, SC 29708-8330 | 2020-05-15 |
| 1891338794 | Joe Babcock | Psychologist | 101 Sugarfield Ct, Greer, SC 29650-3353 | 2019-10-23 |
| 1851941314 | Seagrass Psychoeducational Solutions LLC | Psychologist | 10 Pinckney Colony Rd Ste 312, Bluffton, SC 29909-4148 | 2019-09-17 |
| 1699325225 | Catherine Anne Aurora Pinnola | Psychologist | 4012 Atalaya Pl, Myrtle Beach, SC 29579-5175 | 2019-09-16 |
| 1306400825 | Laurie Stroupe | Psychologist | 210 N Mcduffie St Ste 102, Anderson, SC 29621-5648 | 2019-04-30 |
| 1093270092 | Sarah Rasel | Psychologist | 262 Red Cedar St Ste 4, Bluffton, SC 29910-8968 | 2019-02-04 |
| 1649745845 | Brandi T Dennis | Psychologist | 2011 2nd Loop Rd Ste A, Florence, SC 29501-6187 | 2018-10-04 |
| 1285116152 | Joneen Mary Adams | Psychologist | 895 N Fraser St, Georgetown, SC 29440-3356 | 2018-09-06 |
| 1992284236 | Emma J Merry | Psychologist | 420 E Park Ave Ste 304, Greenville, SC 29601-2257 | 2018-08-08 |
| 1093208894 | Sophie Ellis | Psychologist | 9217 University Blvd Ste C1a, North Charleston, SC 29406-9147 | 2018-06-07 |
| Find all providers with the same taxonomy | ||||
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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.