KELLY CANADA BRANSTETTER


Address: 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883
Phone: 8034348450

KELLY CANADA BRANSTETTER (NPI# 1578988432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578988432
Entity Type Individual
Full Name KELLY CANADA BRANSTETTER
Other Name KELLY ELIZABETH CANADA
Credential CPNP
Practice Address 14 Richland Medical Park Dr Ste 310
Columbia
SC 29203-6883
Mailing Address Po Box 743904
Atlanta
GA 30374-3904
Practice Telephone 8034348450
Practice Fax Number 8037580137
Mailing Telephone 8032967320
Mailing Fax Number 8032967330
Enumeration Date 2014-02-28
Last Update Date 2019-05-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
18707 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC SC MEDICAL LICENSE APN.18707 01
SC NP3240 05

Other Providers KELLY BRANSTETTER

NPI Name Taxonomy Address Enumeration
1336578657 Kelly Branstetter Physical Therapist 8130 Kelwood Ave, Baton Rouge, LA 70806-4843 2013-11-06

Office Location

Street Address 14 RICHLAND MEDICAL PARK DR STE 310
City COLUMBIA
State SC
Zip Code 29203-6883

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609851336 Yuliya Rekhtman Pediatrics 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 2005-12-15
1235629734 Palmetto Health - University of South Carolina Medical Group Pediatrics 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 2018-05-10
1629580477 Tracy R Solomons Dietitian, Registered 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 2017-11-02
1861865016 Elizabeth Burbage Physician Assistant 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 2015-11-10
1992146419 Narendra Yallanki Pediatrics 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203 2013-07-12
1962713594 Palmetto Health Special Care Center General Acute Care Hospital 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 2010-06-29
1003829714 Argiri X Brook Pediatrics 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 2006-08-14
1619905809 Kathryn Anne Stephenson Pediatrics 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 2006-06-28
1154375707 Rathna P Amarnath Specialist 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 2006-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
Find all providers in zip 29203

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093225096 Edna Ayah Nurse Practitioner 8310 Guilford Rd, Columbia, MD 21046-1279 2017-10-04
1366995789 Shawn Danielle Neyens Nurse Practitioner 303 N Keene St Ste 404, Columbia, MO 65201-7193 2016-08-02
1962823443 Erin Gubbins Nurse Practitioner 500 N Keene St Ste 303, Columbia, MO 65201-8104 2013-12-30
1386924991 Eleanor Doris Merboth Nurse Practitioner 6100 Dobbin Rd., Columbia, MD 21045 2011-08-26
1902986680 Penelope Joan Buckman Nurse Practitioner 5 Medical Park Road, Columbia, SC 29203 2006-10-16
1952335077 Karen Mae Waganer Nurse Practitioner 2113 Adams Grv Ste 101, Columbia, SC 29203-6957 2006-07-11
1740210129 Laura L Szadek Nurse Practitioner Nine Medical Park, Suite 230, Columbia, SC 29203 2006-07-03
1104866771 Elizabeth M Berg Nurse Practitioner 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 2006-06-08
1871546226 Sara G Fuller Nurse Practitioner 2638 Two Notch Rd, Suite 110, Columbia, SC 29204-1454 2006-05-18
1679531859 Sara Margaret Haslag Nurse Practitioner 2011 Corona Rd, Suite 207, Columbia, MO 65203-2548 2006-05-03
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29203

Improve Information

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Dataset Information

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.

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