DEVONNE JEAN GERSTENACKER (NPI# 1558886739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558886739 |
| Entity Type | Individual |
| Full Name | DEVONNE JEAN GERSTENACKER |
| Credential | NP |
| Practice Address |
391 Serpentine Dr Ste 400 Spartanburg SC 29303-3081 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645607517 |
| Practice Fax Number | 8645607520 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 94977 | SC | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
21296 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | SCB4777652 | 01 |
| SC | NP4732 | 05 |
| Street Address |
391 SERPENTINE DR STE 400 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508839739 | Vanessa Thompson | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2006-02-08 |
| 1184256174 | Kevin L Cromer | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2020-02-07 |
| 1992354393 | Patrick David Whitfield | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2019-09-09 |
| 1629424114 | Jared Williams Atkinson | Psychiatry & Neurology | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2016-05-13 |
| 1750744496 | Jennifer Reinovsky Mullett | Psychiatry & Neurology | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2016-03-31 |
| 1205121001 | Georges Antoine Hneich | Psychiatry & Neurology | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2011-06-09 |
| 1386879377 | Deana Jo Mcreynolds | Psychiatry & Neurology | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2009-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674009 | Carl Vincent Witherspoon | Nurse Practitioner | 239 Access Rd, Spartanburg, SC 29303-1682 | 2020-09-19 |
| 1184256174 | Kevin L Cromer | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2020-02-07 |
| 1992354393 | Patrick David Whitfield | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2019-09-09 |
| 1083099857 | Kristin Elena Klimbal | Nurse Practitioner | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2015-07-22 |
| 1578841631 | Charles David Edwards | Nurse Practitioner | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2011-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708296 | The Integrated Wellness Center, LLC | Nurse Practitioner | 738 W Liberty St Ste B, Sumter, SC 29150-4745 | 2020-07-30 |
| 1033737903 | Danielle Ledwell | Nurse Practitioner | 109 Bee St Fl 5, Charleston, SC 29401-5703 | 2020-07-08 |
| 1821612615 | Hannah Olivia Robidoux | Nurse Practitioner | 109 Montelena Dr, Lexington, SC 29072-6911 | 2020-06-08 |
| 1376172502 | Luron M Fleming | Nurse Practitioner | 712 Arlington Ave, Greenville, SC 29601-3206 | 2020-04-08 |
| 1760017651 | Kandice Rivers | Nurse Practitioner | 8504 Chloe Ln, North Charleston, SC 29406-8100 | 2020-03-11 |
| 1194350447 | Angela M. Strange | Nurse Practitioner | 109 Brookhaven Dr, Moore, SC 29369-9750 | 2020-03-06 |
| 1144851742 | Patricia Deane | Nurse Practitioner | 430 Cox Rd, Greer, SC 29651-7260 | 2020-02-01 |
| 1497386155 | Michelle Yvette Pinckney | Nurse Practitioner | 1094 Williams Rd, Charleston, SC 29412-5322 | 2020-01-31 |
| 1619515632 | Leah R Hunter | Nurse Practitioner | 53 Antique Rose Ct, Irmo, SC 29063-7501 | 2019-12-20 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
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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.