DR. DONNA WILLSON UPCHURCH (NPI# 1639106511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639106511 |
| Entity Type | Individual |
| Full Name | DR. DONNA WILLSON UPCHURCH |
| Credential | PH.D. |
| Practice Address |
1401 1/2 Calhoun St Columbia SC 29201-2509 |
| Practice Telephone | 8032521866 |
| Practice Fax Number | 8032521177 |
| Mailing Telephone | 8032521866 |
| Mailing Fax Number | 8032521177 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
R16029 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326046 | Donna E Upchurch | Behavior Technician | 4325 W Rome Blvd Apt 1179, North Las Vegas, NV 89084-5409 | 2018-08-21 |
| Street Address |
1401 1/2 CALHOUN ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988663 | Kayla Sweet | Counselor | 1401 1/2 Calhoun St, Columbia, SC 29201-2509 | 2019-08-20 |
| 1689842817 | Family Matters Psychotherapy LLC | Counselor | 1401 1/2 Calhoun St, Columbia, SC 29201-2509 | 2008-02-11 |
| 1225215973 | Jennifer T Allen | Social Worker | 1401 1/2 Calhoun St, Columbia, SC 29201-2509 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477531812 | Jean Litzen Jerardi | Clinical Nurse Specialist | 10852 Green Mountain Circle, Columbia, MD 21044-2320 | 2006-01-05 |
| 1598076168 | Jeanette Ehlers Spence | Clinical Nurse Specialist | 115 Atrium Way Ste 221, Lake Psychological Services, Columbia, SC 29223-6383 | 2010-06-29 |
| 1659394492 | Pharon A. Johnston | Clinical Nurse Specialist | 1330 Taylor At Marion Street, Palmetto Baptist Counseling Center, Columbia, SC 29201 | 2006-07-25 |
| 1114982626 | Rick Sharp | Clinical Nurse Specialist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2006-04-18 |
| 1861457467 | Steven Koeppel | Clinical Nurse Specialist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568905081 | Judy Claire Paull | Clinical Nurse Specialist | 18 Stable Gate Rd, Hilton Head Island, SC 29926-1059 | 2016-12-01 |
| 1457411910 | Diana L Bunzel | Clinical Nurse Specialist | 955 Legends Ter, Mt Pleasant, SC 29464-9527 | 2006-12-12 |
| 1063448108 | Marilyn Mcsherry Earle | Clinical Nurse Specialist | 10 Old Country Roses, Bluffton, SC 29909 | 2006-06-23 |
| 1154667202 | Laura Anita Dunn | Clinical Nurse Specialist | 452 Lakeshore Pkwy, Suite 105, Rock Hill, SC 29730-4291 | 2012-12-18 |
| 1487734620 | Mary L. Tobin | Clinical Nurse Specialist | 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 | 2006-10-16 |
| 1093810046 | Virginia A Rueger | Clinical Nurse Specialist | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-09-14 |
| 1861492092 | Susan Vigeant | Clinical Nurse Specialist | 2400 W Main St, Rock Hill, SC 29732-8968 | 2005-07-29 |
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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.