JILL E MICHAEL (NPI# 1629049382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629049382 |
| Entity Type | Individual |
| Full Name | JILL E MICHAEL |
| Credential | APN |
| Practice Address |
1931 Industrial Park Rd Conway SC 29526-5645 |
| Practice Telephone | 8439158768 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2010-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
3684 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 3102636 | 05 | |
| NV | MEDICAID GROUP | 100500023 | 01 |
| NV | 2402636 | 05 | |
| NV | MEDICARE GROUP | VWCHKL | 01 |
| Street Address |
1931 INDUSTRIAL PARK RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-5645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263461 | Phyllis W Douglas | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-10-21 |
| 1265045777 | Stefania Serianni | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-08-25 |
| 1427677863 | Amanda Mcdowell | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-04-15 |
| 1881230464 | Debra Todd | Licensed Practical Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-11-19 |
| 1508401555 | Emily Goad Atkinson | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-11-14 |
| 1790338614 | Susan B Metallo | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-07-19 |
| 1376103564 | Jeana Nicole Richardson | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-06-19 |
| 1124684733 | Debra L. Toomey | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-05-20 |
| 1982174983 | Kelly Ann Ryder | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2018-12-03 |
| 1982173209 | Alyssa Gideon | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508176744 | Susan Anne Denys | Nurse Practitioner | 811 N Creek Dr, Conway, AR 72032-4712 | 2010-10-20 |
| 1174628796 | Linda L Harper | Nurse Practitioner | 8016 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-09-14 |
| 1922201839 | Theresa J Moix | Nurse Practitioner | 2200 Ada Ave Ste 301, Conway, AR 72034-4986 | 2007-06-07 |
| 1043379837 | Christine Clyne | Nurse Practitioner | 298 White Mountain Hwy, Conway, NH 03818-4204 | 2006-12-07 |
| 1063518470 | Linda Lee Queen | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2006-09-15 |
| 1518917962 | Inez Mcquage Huggins | Nurse Practitioner | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919710 | Christy Marie South | Nurse Practitioner | 81 Pointe Cir Ste D, Greenville, SC 29615-3505 | 2019-12-19 |
| 1598217457 | Amanda Jean Ruby | Nurse Practitioner | 3864 Renee Dr, Myrtle Beach, SC 29579-4108 | 2016-10-26 |
| 1174920847 | Tyra L Taylor | Nurse Practitioner | 2 Maple Tree Ct, Bon Secours Ob-gyn, Greenville, SC 29615-4068 | 2014-11-24 |
| 1407199060 | Victoria Lynn Brassfield | Nurse Practitioner | 1220 Hospital Dr Ste A, Mount Pleasant, SC 29464-3678 | 2013-04-02 |
| 1578825444 | Miriam Faith Criswell | Nurse Practitioner | 727 Se Main St Ste 120, Simpsonville, SC 29681 | 2012-06-15 |
| 1669747341 | Michaela Buchanan French | Nurse Practitioner | 11 Park Creek Drive, Greenville, SC 29605 | 2012-03-14 |
| 1770865511 | Amanda C Naramore | Nurse Practitioner | 343 Old South Way, Mt Pleasant, SC 29464-7854 | 2011-09-19 |
| 1487961876 | Isis Lucia Hart | Nurse Practitioner | 25 Hospital Center Blvd Ste 305, Hilton Head Island, SC 29926-2739 | 2010-09-07 |
| 1952432882 | Billie S Buchanan | Nurse Practitioner | 202 Victoria St, Greer, SC 29651-3436 | 2007-03-09 |
| 1578602546 | Beverly I Huegel | Nurse Practitioner | 4311 Hard Scrabble Rd, Columbia, SC 29229-9422 | 2007-02-06 |
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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.