PORTIA BROOKS (NPI# 1679943419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679943419 |
Entity Type | Individual |
Full Name | PORTIA BROOKS |
Practice Address |
5880 Rivers Ave North Charleston SC 29406-6053 |
Practice Telephone | 8437254673 |
Practice Fax Number | 8437251235 |
Mailing Telephone | 8437254673 |
Mailing Fax Number | 8437251235 |
Enumeration Date | 2015-10-06 |
Last Update Date | 2015-10-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033356498 | Portia Brooks | Licensed Practical Nurse | 650 Joel Dr, Blanchfield--wpcc, Fort Campbell, KY 42223-5318 | 2009-01-07 |
Street Address |
5880 RIVERS AVE |
City | NORTH CHARLESTON |
State | SC |
Zip Code | 29406-6053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205017860 | Hope Clinic LLC | Internal Medicine | 5880 Rivers Ave, North Charleston, SC 29406 | 2007-11-23 |
1437529260 | Hope Clinic | Clinic/Center | 5880 Rivers Ave, North Charleston, SC 29406-6053 | 2015-10-06 |
1043509144 | Kathryn Anne Borkert | Physician Assistant | 5880 Rivers Ave, North Charleston, SC 29406-6053 | 2011-03-30 |
1699000471 | Claire Hamer Kirkpatrick | Physician Assistant | 5880 Rivers Ave, North Charleston, SC 29406-6053 | 2009-10-12 |
1952585564 | Wakesha T Evans | Physician Assistant | 5880 Rivers Ave, North Charleston, SC 29406-6053 | 2007-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
Find all providers in zip 29406 |
Taxonomy Code | 247200000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Other |
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740354091 | Kathleen Megan Roberts | Technician, Other | 1050 Register Street, Commanding Officer Cgc Oar, North Charleston, SC 29405 | 2006-11-20 |
1225126816 | Michael Joseph Buchanan | Technician, Other | 1050 Register St, Commanding Oficer Uscgc Gallatin, North Charleston, SC 29415 | 2006-10-10 |
1043541527 | Jerry Don Rucker | Technician, Other | 3600 Rivers Ave, North Charleston, SC 29405-7747 | 2010-01-22 |
1407096191 | Stephen Greenwood | Technician, Other | 3600 Rivers Ave, North Charleston, SC 29405-7747 | 2009-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
1063904191 | Marisa Elizabeth Tetreault | Technician, Other | 612 Devine St Unit 434, Columbia, SC 29201-5276 | 2018-06-04 |
1861992729 | Cathy Reisch | Technician, Other | 1712 Saint Julian Pl Ste 101, Columbia, SC 29204-2447 | 2018-02-17 |
1902314057 | Ralph A Poston Jr. | Technician, Other | 1365 Wagon Wheel Ct, Conway, SC 29527-4019 | 2018-01-10 |
1851806954 | Lca-sc | Technician, Other | 1 Creekview Ct Ste C, Greenville, SC 29615-4839 | 2017-12-11 |
1619336930 | Joanna Mannon | Technician, Other | 3302 Robert M Grissom Pkwy, Myrtle Beach, SC 29577-6401 | 2016-02-15 |
1184006793 | Anna Janke | Technician, Other | 4505 Dick Pond Rd, Myrtle Beach, SC 29588-6820 | 2015-06-19 |
1114325768 | Lisa Price | Technician, Other | 213 Spring Creek Ct, Lexington, SC 29072-7948 | 2014-12-15 |
1407251200 | Trudy Alvarez | Technician, Other | 1002 Deerberry Rd, Goose Creek, SC 29445-4746 | 2014-10-23 |
1508142860 | Joyce May Tyndall | Technician, Other | 4019 W Palmetto St, Florence, SC 29501-8106 | 2011-10-31 |
Find all providers with the same taxonomy |
City | NORTH CHARLESTON |
Zip Code | 29406 |
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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.