MRS. KELLY MARIE PABST (NPI# 1699112425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699112425 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MARIE PABST |
| Credential | APRN |
| Practice Address |
2085 Henry Tecklenburg Dr Suite 320 Charleston SC 29414-7710 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8434021211 |
| Practice Fax Number | 8436068088 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2016-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
00018156 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2085 HENRY TECKLENBURG DR SUITE 320 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-7710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093773657 | George Frederick Geils Jr. | Internal Medicine | 2085 Henry Tecklenburg Dr, Second Floor, Charleston, SC 29414-7710 | 2006-05-03 |
| 1447795158 | Charleston Oncology, Pa | Pharmacy | 2085 Henry Tecklenburg Dr, Second Floor, Charleston, SC 29414-7710 | 2017-01-04 |
| 1497204432 | Gwen Marie Shattuck | Nurse Practitioner | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 | 2016-10-03 |
| 1124431606 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2085 Henry Tecklenburg Dr, Suite 310, Charleston, SC 29414 | 2014-06-03 |
| 1255756532 | Roper Saint Francis Physicians Network | Internal Medicine | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414 | 2014-02-24 |
| 1174958227 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 | 2013-09-09 |
| 1316370646 | Roper Saint Francis Physicians Network | Neurological Surgery | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 | 2013-08-09 |
| 1851724181 | Roper Saint Francis Physicians Network | Neurological Surgery | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 | 2013-08-09 |
| 1659618627 | Roper Saint Francis Physicians Network | Internal Medicine | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414 | 2013-01-11 |
| 1023309606 | Charleston Hematology Oncology Associates Pa | Internal Medicine | 2085 Henry Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-5733 | 2011-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
| 1790967131 | Pamela Bearden | Clinical Nurse Specialist | 160 Rutledge Ave, Charleston, SC 29403-5821 | 2007-11-28 |
| 1164668224 | Christine M Moffett | Clinical Nurse Specialist | 109 Bee St, Charleston, SC 29401-5703 | 2008-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942579347 | Angela Hebert Hayden Np | Clinical Nurse Specialist | 400-4 College Ave, Suite 3, Clemson, SC 29631-2925 | 2011-12-14 |
| 1568604338 | Shannon Bright Smith | Clinical Nurse Specialist | 400 Magnolia St # 135a, Orangeburg, SC 29115-6815 | 2009-03-25 |
| 1295169241 | Tolvalyn Shinia Dennison | Clinical Nurse Specialist | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2013-08-27 |
| 1922362052 | Melissa Renee Bouassaba | Clinical Nurse Specialist | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2012-07-03 |
| 1861702532 | Amanda K Krutke | Clinical Nurse Specialist | 107 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2010-10-15 |
| 1831213545 | Donna D Burroughs | Clinical Nurse Specialist | 100 Healthy Way, Suite 1210, Anderson, SC 29621-7915 | 2007-03-19 |
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on MRS. KELLY MARIE PABST.
| 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.