MRS. DIANNE LANDIS BRETZ (NPI# 1659587764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659587764 |
Entity Type | Individual |
Full Name | MRS. DIANNE LANDIS BRETZ |
Other Name | MS. DIANE HURST |
Credential | FNP-BC |
Practice Address |
222 E Medical Ln Ste 300 West Columbia SC 29169-4848 |
Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
Practice Telephone | 8039368100 |
Practice Fax Number | 8039368130 |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-10-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
1594 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
222 E MEDICAL LN STE 300 |
City | WEST COLUMBIA |
State | SC |
Zip Code | 29169-4848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528040375 | Gregory E. Lyman | Obstetrics & Gynecology | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2005-11-17 |
1568060689 | Lexington Health Inc | Obstetrics & Gynecology | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2020-10-12 |
1487252508 | Lexington Health Inc | Obstetrics & Gynecology | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2020-10-12 |
1497371298 | Courtney Renee Mcilveen | Advanced Practice Midwife | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2020-06-18 |
1366071474 | Cynthia S Koli | Nurse Practitioner | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2020-04-02 |
1407411135 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2019-05-08 |
1265800783 | Megan A Crane | Advanced Practice Midwife | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2015-09-15 |
1619357043 | Blake Jeremy Chapman | Obstetrics & Gynecology | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2015-06-01 |
1659642643 | Darcia M Putnam | Advanced Practice Midwife | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2012-01-23 |
1548378409 | Donna Michelle Andrews | Advanced Practice Midwife | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2006-08-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
Find all providers in zip 29169 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790789519 | Cynthia Anne Dodd | Nurse Practitioner | 112 Hospital Dr W, West Columbia, SC 29169-3406 | 2005-06-09 |
1366071474 | Cynthia S Koli | Nurse Practitioner | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2020-04-02 |
1932136488 | Robin B Pruette | Nurse Practitioner | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295130839 | Mary Elizabeth Lane | Nurse Practitioner | 1350a Cleveland St, Greenville, SC 29607-2408 | 2014-10-24 |
1134242456 | Debra Ann Moynihan | Nurse Practitioner | 4017 Bypass 17, Murrells Inlet, SC 29576-2674 | 2007-04-10 |
1104927334 | Deborah Jenkins | Nurse Practitioner | 401 Guess Street, Suite 100, Greenville, SC 29605-4155 | 2006-09-26 |
1548290331 | Lorraine Hansen Hensley | Nurse Practitioner | 531 Lafayette Cir, Georgetown, SC 29440-2569 | 2006-07-04 |
1235128141 | Susan Annette West Hallman | Nurse Practitioner | 471 University Pkwy, Aiken, SC 29801-6389 | 2005-10-14 |
1396732111 | Janet C Poole | Nurse Practitioner | 1410 S Kings Hwy, Myrtle Beach, SC 29577-4509 | 2005-10-06 |
1104812403 | Jean T Isherwood | Nurse Practitioner | 811 W Main St Ste 209, Lexington, SC 29072-2500 | 2005-09-22 |
1508864406 | Charlene N Bunger | Nurse Practitioner | 620 Singleton Ridge Rd Ste 385, Conway, SC 29526-9154 | 2005-07-13 |
1023582681 | Janette Figueroa | Nurse Practitioner | 1120 Grove Rd, Greenville, SC 29605-4656 | 2019-01-17 |
1649718834 | Alyssa Petry | Nurse Practitioner | 851 Leonard Fulghum Dr, Ste. 201, Mount Pleasant, SC 29464-3793 | 2017-02-07 |
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City | WEST COLUMBIA |
Zip Code | 29169 |
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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.