LAURA RUTHVEN BULLOCH (NPI# 1700289147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700289147 |
| Entity Type | Individual |
| Full Name | LAURA RUTHVEN BULLOCH |
| Credential | PNP |
| Practice Address |
1530 Mclure Ct Florence SC 29505-6174 |
| Practice Telephone | 8436676710 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
19069 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 206 Centre South Blvd, Aiken, SC 298036319 | 8036429204 |
| Street Address |
1530 MCLURE CT |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033317110 | Sandra Justice | Pharmacy Technician | 1530 Mclure Ct, Florence, SC 29505-6174 | 2007-07-10 |
| 1902381791 | Monica Wilson Holt | Nurse Practitioner | 1530 Mclure Ct, Florence, SC 29505-6174 | 2018-09-27 |
| 1790174928 | Erin Lewis | Nurse Practitioner | 1530 Mclure Ct, Florence, SC 29505-6174 | 2015-01-12 |
| 1710204490 | Lowcountry Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1530 Mclure Ct, Florence, SC 29505-6174 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972805190 | Care House of The Pee Dee Inc | Nurse Practitioner | 1500 Patton Dr, Florence, SC 29501-6520 | 2010-11-19 |
| 1225178460 | Nothwest Alabama Childrens Advocacy Center, Inc | Nurse Practitioner | 404 W Tennessee St, Florence, AL 35630-5525 | 2007-02-07 |
| 1316958036 | Connie M Arnold | Nurse Practitioner | 3909 Pasadena Ave, Florence, AL 35633-1132 | 2006-08-10 |
| 1902455595 | Taylor R King | Nurse Practitioner | 421 W College St, Florence, AL 35630-5520 | 2019-09-06 |
| 1275002123 | Elizabeth Lynn Combs | Nurse Practitioner | 45 Cavalier Blvd, Florence, KY 41042-1684 | 2018-11-21 |
| 1083098305 | Charlotte Ellis | Nurse Practitioner | 7409 Us 42, Florence, KY 41042-1905 | 2015-07-16 |
| 1437585825 | Amanda Leigh Race | Nurse Practitioner | 59 Cavalier Blvd, Suite 330, Florence, KY 41042-3901 | 2013-09-18 |
| 1992957138 | Jessica Lea Ester | Nurse Practitioner | 7309 Us 42, Florence, KY 41042-5561 | 2008-10-21 |
| 1184760159 | Donna Lynn Montgomery | Nurse Practitioner | 421 West College St, Florence, AL 35630 | 2007-01-29 |
| 1013068337 | Kristie L Thelen Mcmanus | Nurse Practitioner | 59 Cavalier Blvd, Suite 330, Florence, KY 41042-3901 | 2007-01-15 |
| Find all providers in FLORENCE | ||||
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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.