SANDRA WEATHERFORD (NPI# 1770670143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770670143 |
| Entity Type | Individual |
| Full Name | SANDRA WEATHERFORD |
| Credential | FNP |
| Practice Address |
953 South Pamplico Hwy Pamplico SC 29583 |
| Practice Telephone | 8434935252 |
| Practice Fax Number | 8434932372 |
| Mailing Telephone | 8434935252 |
| Mailing Fax Number | 8434932372 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2399 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP1032 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225488042 | Sandra Weatherford | Physical Therapy Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2016-06-14 |
| 1023331584 | Sandra J Weatherford | Social Worker | 1307 E Elm St, Athens, AL 35611-5318 | 2010-03-11 |
| Street Address |
953 SOUTH PAMPLICO HWY |
| City | PAMPLICO |
| State | SC |
| Zip Code | 29583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811191877 | Brandie Andrews Reynolds | Family Medicine | 953 South Pamplico Hwy, Pamplico, SC 29583 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1295381564 | Lane Madison Hodges | Pharmacist | 616 S Walnut St., Pamplico, SC 29583 | 2019-08-13 |
| 1386109643 | Lorraine Sullivan Bennett | Occupational Therapy Assistant | Hanna Pamplico Elementary School, 2131 South Pamplico Highway, Pamplico, SC 29583 | 2019-01-31 |
| 1215141080 | Joseph Leonard Brown | Dentist | 905 S Pamplico Hwy, Pamplico, SC 29583 | 2007-05-10 |
| 1700432606 | Life Links Behavioral and Medical Group | Counselor | 503 E Main Street, Pamplico, SC 29583 | 2019-08-15 |
| 1659820587 | Life Links, LLC | Home Health | 503 E Main Street, Pamplico, SC 29583 | 2016-10-04 |
| 1649512492 | Pamplico Rescue and Ambulance Service | Ambulance | 217 E. Third Ave, Pamplico, SC 29583-0532 | 2013-03-20 |
| 1235270109 | Tina Stone Chastain | Pharmacist | 616 South Walnut Street, Pamplico, SC 29583-0637 | 2007-02-12 |
| 1114922671 | Longs Drugs of Pamplico South Carolina Inc | Pharmacy | 616 S Walnut St, Pamplico, SC 29583-0637 | 2005-06-20 |
| 1801846118 | Florence County School District No. Two | Local Education Agency (LEA) | 2121 S Pamplico Hwy, Pamplico, SC 29583-4046 | 2006-05-10 |
| Find all providers in zip 29583 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356890008 | Lindsey Rebecca Weaver | Nurse Practitioner | 730 W Highway 378 Hannah, Pamplico, SC 29583-5315 | 2016-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 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 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| 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.