MR. TARA LYNETTE PAHNKE (NPI# 1740493519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740493519 |
Entity Type | Individual |
Full Name | MR. TARA LYNETTE PAHNKE |
Credential | RN, APRN |
Practice Address |
113b Berry Ave Greer SC 29651-1307 |
Mailing Address |
42 Ayersdale Dr Taylors SC 29687-5500 |
Practice Telephone | 8649890230 |
Mailing Telephone | 8643138472 |
Enumeration Date | 2007-05-08 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3128 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
113B BERRY AVE |
City | GREER |
State | SC |
Zip Code | 29651-1307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962798140 | Melonie Norman Fleshman | Nurse Practitioner | 113b Berry Ave, Greer, SC 29651-1307 | 2011-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619499035 | Jerry Webb Hudspeth II | Pharmacist | 221 Marnie Ln, Greer, SC 29651 | 2017-07-07 |
1073863395 | Sarah Delello Black | Pharmacist | 590 East Howell Rd, Greer, SC 29651 | 2012-09-13 |
1538418645 | Ernest Earl Clayton | Pharmacist | 1325 West Wade Hampton Blvd, Greer, SC 29651 | 2012-09-05 |
1235451352 | Mountainview Dentistry | Dentist | 119 Village Drive, Greer, SC 29651 | 2010-02-16 |
1548457849 | Assisted Living Concepts Inc | Assisted Living Facility | 10 Companion Court, Greer, SC 29651 | 2007-10-01 |
1689866642 | Anthony L Mathis Dpm LLC | Podiatrist | 127 Mills Ave., Greer, SC 29651 | 2007-08-14 |
1275740193 | Pamela B Dhillon | Dentist | 3115 A Brushy Creek Road, Greer, SC 29651 | 2007-05-17 |
1689715153 | Clara Richards | Occupational Therapy Assistant | 285 Genoble Rd, Greer, SC 29651 | 2007-02-09 |
1063566263 | Greer Group Practice, LLC | Orthopaedic Surgery | 501-b Memorial Extension Drive, Greer, SC 29651 | 2007-01-23 |
1730253824 | Tammy Rollins Mason | Social Worker | 104 Memorial Drive, Greer, SC 29651 | 2006-11-20 |
Find all providers in zip 29651 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
1497370589 | Barbara Sue Wall | Nurse Practitioner | 315 Ascot Ridge Ln, Greer, SC 29650-3692 | 2020-06-15 |
1205471125 | Sherrel Fleming | Nurse Practitioner | 8 Reddington Dr, Greer, SC 29650-4795 | 2019-11-14 |
1235623943 | Karen Michelle Picone | Nurse Practitioner | 148 Redcroft Dr, Greer, SC 29651-7004 | 2018-06-16 |
1528516093 | Brittany Taylor Lockhart | Nurse Practitioner | 230 W Wade Hampton Blvd Ste 120, Greer, SC 29650-1655 | 2016-09-14 |
1467847012 | Cathleen Castay | Nurse Practitioner | 405 Memorial Drive Ext, Greer, SC 29651-1817 | 2015-03-31 |
1740467281 | Amy Clanton Boone | Nurse Practitioner | 3308 Brushy Creek Rd, Greer, SC 29650 | 2008-01-28 |
1225222326 | Faith Marie Burke | Nurse Practitioner | 214 Watkins Farm Dr, Greer, SC 29651-7539 | 2007-08-31 |
1104433127 | Allie Rose Dowe | Nurse Practitioner | 3115d Brushy Creek Rd, Greer, SC 29650-0903 | 2020-09-24 |
Find all providers in GREER |
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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.