MRS. SANDRA SCHULTZ-PETERS


Address: 1221 21st Ave N, Myrtle Beach, SC 29577
Phone: 8436269379

MRS. SANDRA SCHULTZ-PETERS (NPI# 1871592162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871592162
Entity Type Individual
Full Name MRS. SANDRA SCHULTZ-PETERS
Credential CRNP
Practice Address 1221 21st Ave N
Myrtle Beach
SC 29577
Mailing Address 945 82nd Pkwy
Suite 3
Myrtle Beach
SC 29572-4612
Practice Telephone 8436269379
Mailing Telephone 8434493381
Mailing Fax Number 8438390275
Enumeration Date 2005-07-19
Last Update Date 2019-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 17973 SC Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
ARNP 17973 SC Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
ARNP 17973 SC Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
TP0059570 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 1024321420001 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
945 82nd Pkwy, Suite 3, Myrtle Beach, SC 295724612 8434493381 8438390275

Office Location

Street Address 1221 21ST AVE N
City MYRTLE BEACH
State SC
Zip Code 29577

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932643921 Brandi Giffin Nurse Practitioner 1221 21st Ave N, Myrtle Beach, SC 29577 2016-12-08
1073852067 Doctors Care Sc, Pa Emergency Medicine 1221 21st Ave N, Myrtle Beach, SC 29577-7402 2013-02-11
1275839532 Richard Roode Physician Assistant 1221 21st Ave N, Myrtle Beach, SC 29577-7402 2011-02-03
1942453139 Robin Michelle Shaver Physician Assistant 1221 21st Ave N, Myrtle Beach, SC 29577-7402 2008-10-31
1851329395 Robert Michael Frank Emergency Medicine 1221 21st Ave N, Myrtle Beach, SC 29577-7402 2006-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124536446 Well Care Home Health of The Lowcountry Home Health 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 2018-01-22
1518470913 Guillot Enterprises, LLC Hearing Instrument Specialist 1294 Professional Dr., Suite C, Myrtle, SC 29577 2017-11-08
1598288227 Ryan Shepherd Pharmacist 1705 South Kings Highway, Myrtle Beach, SC 29577 2017-07-25
1184176554 Shannon Long Counselor 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 2016-11-01
1265898191 Coastal Carolina Infectious Disease, LLC Internal Medicine 1110 London St Ste 102, Myrtle Beach, SC 29577 2016-01-07
1548639933 Susan Lang Social Worker 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 2015-09-16
1043600893 Kenneth Edward Smith Counselor 1125 48th Avenue North, Myrtle Beach, SC 29577 2015-02-02
1902203615 Sc Nursing Services LLC Home Infusion 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 2014-11-24
1881007946 Intercoastal Endo, PC Dentist 4382 Oleander Dr, Myrtle Beach, SC 29577 2014-06-06
1891115739 Julie Hite Pharmacist 540 Seaboard Street, Myrtle Beach, SC 29577 2014-04-18
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508466145 Ashley Anne Smith Nurse Practitioner 581 Hinson Dr Apt 834, Myrtle Beach, SC 29579-4460 2020-10-30
1447801030 Regenerative Solutions LLC Nurse Practitioner 4016 River Oaks Dr Ste 4, Myrtle Beach, SC 29579-6673 2019-09-25
1548811342 Rachel Dorr Nurse Practitioner 185 Fresh Dr Ste A, Myrtle Beach, SC 29579-4436 2019-09-23
1700446234 Svetlana Claire Brusyanina Nurse Practitioner 117 Breakers Dr Unit 233, Myrtle Beach, SC 29579-4428 2019-06-17
1699943399 Terry Lynn Pratt Nurse Practitioner 3127 Mr Joe White Ave, Myrtle Beach, SC 29577-6712 2008-02-15
1124657556 Ryan Wilson Nurse Practitioner 2761 Agnes Ln, Myrtle Beach, SC 29577-2029 2020-04-07
1750922233 Vicki Grigg Chacon Nurse Practitioner 1201 48th Ave N, Myrtle Beach, SC 29577-5452 2019-10-04
1417598186 Caitlin Mccormick Nurse Practitioner 4610 Oleander Dr, Myrtle Beach, SC 29577-5752 2019-10-03
1881235877 Ashley Brooke Alley Nurse Practitioner 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 2019-10-01
1700433778 Lindsey Amanda Rogers Nurse Practitioner 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 2019-08-23
Find all providers in MYRTLE BEACH

Competitor

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City MYRTLE BEACH
Zip Code 29577

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Dataset Information

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.

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