VALERIE BRADLEY DANTZLER (NPI# 1790178200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790178200 |
Entity Type | Individual |
Full Name | VALERIE BRADLEY DANTZLER |
Credential | FNP-BC |
Practice Address |
157 Corley Mill Rd Lexington SC 29072-7600 |
Practice Telephone | 8032562483 |
Practice Fax Number | 8037994624 |
Mailing Telephone | (803) 256-2483 |
Mailing Fax Number | 8037994624 |
Enumeration Date | 2015-03-08 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.19338 RX | SC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
9 Richland Medical Park Dr Ste 510, Columbia, SC 292036870 | 8032562483 | 8037994624 |
Street Address |
157 CORLEY MILL RD |
City | LEXINGTON |
State | SC |
Zip Code | 29072-7600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811938830 | Jonathan D King | Otolaryngology | 157 Corley Mill Rd, Ste 510, Lexington, SC 29072-7600 | 2006-06-09 |
1679132450 | Leanne Morgan Browning | Audiologist | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2019-06-06 |
1083270912 | Prima Dorothy Ray | Physician Assistant | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2019-05-16 |
1588037584 | Matthew J Clements | Physician Assistant | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2015-11-12 |
1174906804 | Jessica Holt | Audiologist | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2015-06-30 |
1063825974 | Stephanie Bergeron | Audiologist | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2014-06-09 |
1306106794 | Aaron Michael Hilton | Otolaryngology | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2012-05-21 |
1598842189 | John Cameron Kirchner | Otolaryngology | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2006-11-01 |
1881626133 | Centa Medical Group Pa | Otolaryngology | 157 Corley Mill Rd, Lexington, SC 29072 | 2006-07-07 |
1417990672 | Horace E Beasley | Audiologist | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2006-06-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
Find all providers in zip 29072 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1831701572 | Jillian Leigh Butcher | Nurse Practitioner | 2917 Mahala Ln, Lexington, KY 40509-8555 | 2020-08-22 |
1033721154 | Heart Rescue Cpr LLC | Nurse Practitioner | 501 Darby Creek Rd Ste 18, Lexington, KY 40509-1606 | 2020-08-19 |
1619588241 | Jordyn L Bush | Nurse Practitioner | 124 Clay Ave, Lexington, KY 40502-1702 | 2020-08-17 |
Find all providers in LEXINGTON |
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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.