DEMETRICE NICHOLE GIST (NPI# 1760594857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760594857 |
| Entity Type | Individual |
| Full Name | DEMETRICE NICHOLE GIST |
| Credential | RN |
| Practice Address |
1324 Commerce Dr Dillon SC 29536 |
| Mailing Address |
Po Box 929 Dillon SC 29536 |
| Practice Telephone | 8437743851 |
| Practice Fax Number | 8437742622 |
| Mailing Telephone | 8437743351 |
| Mailing Fax Number | 8437742622 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
91850 | SC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 405127 | 05 |
| Street Address |
1324 COMMERCE DR |
| City | DILLON |
| State | SC |
| Zip Code | 29536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508395005 | Mckayla Marie Gorman | Counselor | 1324 Commerce Dr, Dillon, SC 29536 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648858 | Melanie Daniels Smith | Registered Nurse | 1803 Joan Drive, Dillon, SC 29536 | 2020-10-26 |
| 1740888197 | Ashlyn Syvanna Arnette | Registered Nurse | 1001 West Calhoun Street, Dillon, SC 29536 | 2020-10-16 |
| 1245846179 | Chasity Nichole Chavis | Registered Nurse | 2159 Hwy 9 West, Dillon, SC 29536 | 2020-09-16 |
| 1376047811 | Medysis Healthcare | Home Health | 1000 N. Us 301, Dillon, SC 29536 | 2018-03-20 |
| 1548768278 | Medysis Healthcare | Home Health | 1000 N. Us-301, Dillon, SC 29536 | 2018-01-29 |
| 1639547565 | Tynia S Thomas | Counselor | 1324 Commerce, Dillon, SC 29536 | 2015-09-09 |
| 1528457967 | David Brown | Pharmacist | 804 Enterprise Rd, Dillon, SC 29536 | 2015-01-22 |
| 1891103701 | Fairlynn Grooms | Pharmacist | 611 U.S. 301 Highway, Dillon, SC 29536 | 2014-07-24 |
| 1790035483 | Lindsay Elizabeth Hyduke | Pharmacist | 1211 Hwy 301 North, Dillon, SC 29536 | 2012-09-11 |
| 1386932838 | Nardin Nabil Khalil | Family Medicine | 603 North 6th Avenue, Dillon, SC 29536 | 2011-07-19 |
| Find all providers in zip 29536 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740504869 | Ridgill Long Mims | Registered Nurse | 1324 Commerece Dr., Dillon, SC 29536 | 2010-03-18 |
| 1922211457 | Karen Elizabeth Jordan | Registered Nurse | 1324 E Commerce Dr, Dillon, SC 29536 | 2007-05-08 |
| 1215173257 | Stephanie N. Townsend | Registered Nurse | 1324 Commerce Drive, Dillon, SC 29536-1324 | 2008-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773326 | Edith Bostic | Registered Nurse | 409 Paul St, Conway, SC 29527-5823 | 2019-10-31 |
| 1073167185 | Shyeasha Wilson | Registered Nurse | 1460 Oakcrest Dr Apt 2120, Columbia, SC 29223-1746 | 2019-07-26 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1689122640 | Chanelle M Johnson | Registered Nurse | 217 Gateway Ln, Columbia, SC 29210-7452 | 2016-09-19 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| 1902212251 | New Day Emotional Care, LLC | Registered Nurse | 2117 W Palmetto St Ste A, Florence, SC 29501-3902 | 2014-07-08 |
| 1194137091 | Carmen White-baltimore | Registered Nurse | 4794 Baltimore Pl, Charleston, SC 29418-3485 | 2014-05-27 |
| 1518381599 | Rosalinde M Rhynes | Registered Nurse | 3805 Saluda Rd, Rock Hill, SC 29730-7262 | 2014-02-11 |
| 1952654527 | Veronica Smith | Registered Nurse | 3473 Lockhart Hwy, Union, SC 29379-8526 | 2012-10-19 |
| 1154670586 | Karissa Ann Chorbajian | Registered Nurse | 248 Earle Dr, Greenville, SC 29611-4408 | 2012-08-30 |
| Find all providers with the same taxonomy | ||||
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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.