KELSEY JEAN ANDERSON (NPI# 1679967749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679967749 |
| Entity Type | Individual |
| Full Name | KELSEY JEAN ANDERSON |
| Credential | PA |
| Practice Address |
768 Country Club Dr Pawleys Island SC 29585-8094 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 9377766792 |
| Mailing Telephone | 8436528220 |
| Mailing Fax Number | 8436528032 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2325 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912459686 | Kelsey Anderson | Specialist/Technologist | 1415 Jericho Rdg, New Braunfels, TX 78130-3984 | 2016-10-28 |
| 1487021671 | Kelsey Anderson | Counselor | 16201 90th Street Nw, Suite 200, Otsego, MN 55330 | 2015-08-24 |
| 1366879074 | Kelsey Elyse Anderson | Speech-Language Pathologist | 202 Knotty Oak Rd, Coventry, RI 02816-8311 | 2013-09-26 |
| 1457639049 | Kelsey Anderson | Social Worker | 3181 Sw Sam Jackson Park Rd # Uhs-8l, Portland, OR 97239-3098 | 2011-07-29 |
| 1861664211 | Kelsey Anderson | Counselor | 401 1st St Ste B104, Princeton, MN 55371-1678 | 2008-03-26 |
| 1851905715 | Kelsey Lee Anderson | Behavioral Analyst | 6369 E Tanque Verde Rd Ste 100, Tucson, AZ 85715-3833 | 2020-09-08 |
| 1326664723 | Kelsey Anderson | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2020-06-22 |
| 1790323954 | Kelsey Hope Anderson | Social Worker | 55 Fruit St, Boston, MA 02114-2621 | 2019-12-18 |
| 1063071231 | Kelsey Nicole Anderson | Physical Therapist | 17134 Bel Ray Pl, Belton, MO 64012-5331 | 2019-06-11 |
| 1841855400 | Kelsey Ann Anderson | Case Manager/Care Coordinator | 622 Riverside Dr, Monroe, LA 71201-6211 | 2019-05-08 |
| Street Address |
768 COUNTRY CLUB DR |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585-8094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1518437110 | David Patrick Hanley | Home Health | 10698 Ocean Highway, Suite 100, Pawleys Island, SC 29585 | 2018-11-27 |
| 1154860369 | Danielle Olivia Woodley | Nurse Practitioner | 201 Business Center Dr., Pawleys Island, SC 29585 | 2017-02-21 |
| 1992241145 | Nichole Marie Evans | Nurse Practitioner | 10317 Ocean Highway 17 South, Pawleys Island, SC 29585 | 2017-01-11 |
| 1922559152 | Camri K Monaghan | Occupational Therapist | 120 Lakes of Litchfield Dr., Pawleys Island, SC 29585 | 2016-10-24 |
| 1245785666 | Hannah Rebecca Willis Rustin | Dentist | 34 Business Center Dr, Pawleys Island, SC 29585 | 2016-08-16 |
| 1750700894 | Veronica Seitzinger | Social Worker | 49 Pond View Dr, Pawleys Island, SC 29585 | 2014-04-15 |
| 1578813341 | Anne Marie Floyd | Physical Therapist | 120 Lakes At Litchfield Drive, Pawley's Island, SC 29585 | 2012-09-19 |
| 1356612170 | Jean C. Cross | Social Worker | Alston Rd, Pawleys Island, SC 29585 | 2012-01-25 |
| Find all providers in zip 29585 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598870750 | Charlotte T. Moore | Physician Assistant | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770712 | Hannah Jenkins | Physician Assistant | 780 Windrow Dr, Sumter, SC 29150-5318 | 2020-11-04 |
| 1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
| 1538768098 | Hristos Stamatopoulos | Physician Assistant | 149 Independent Ln, Walterboro, SC 29488-6218 | 2020-10-25 |
| 1053910596 | Sarah Xiao Jing Jarema | Physician Assistant | 1211 Hadley Cir Unit 4301, Myrtle Beach, SC 29577-8219 | 2020-10-24 |
| 1063011062 | Sara Chmielewski | Physician Assistant | 283 Blvd De France, Parris Island, SC 29905 | 2020-10-21 |
| 1487252367 | Hannah Beddingfield | Physician Assistant | 200 Drury Ln, Mauldin, SC 29662-2228 | 2020-10-13 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1790383719 | Kaytlin Blake Hollingsworth | Physician Assistant | 2774 Shadow Ln, North Charleston, SC 29406-9065 | 2020-10-12 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1144836461 | Michael Joseph Haven | Physician Assistant | 221 Bayfront Dr Unit 224, Mount Pleasant, SC 29464-1825 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
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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.