MRS. AMY SHOCKLEY (NPI# 1902387509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902387509 |
| Entity Type | Individual |
| Full Name | MRS. AMY SHOCKLEY |
| Credential | RN |
| Practice Address |
5141 Morning Frost Pl Myrtle Beach SC 29579-3577 |
| Practice Telephone | 8432744722 |
| Mailing Telephone | 8432744722 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
68052 | SC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578987681 | Amy Shockley | Occupational Therapy Assistant | 830 Washington St, Watertown, NY 13601-4034 | 2014-02-10 |
| Street Address |
5141 MORNING FROST PL |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-3577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975862 | Katherine H Alford | Registered Nurse | 961 Old Bridge Rd, Myrtle Beach, SC 29572-5729 | 2019-01-03 |
| 1679010615 | Brittany Denise Arrington | Registered Nurse | 232 Shoreward Dr, Myrtle Beach, SC 29579-5146 | 2017-01-29 |
| 1336565357 | Donna Cartrette | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-14 |
| 1205463643 | Jennifer Theresa Poling | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2020-03-25 |
| 1407480940 | Amy Root | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2020-02-24 |
| 1376963553 | Elaine Zachary | Registered Nurse | 800 21st Ave N, Myrtle Beach, SC 29577-7424 | 2014-04-25 |
| 1750707675 | Timea Meszaros | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-17 |
| 1093131005 | Paul A Repik | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-14 |
| 1548593122 | Brenda Anne Hewitt | Registered Nurse | 4022 Postal Way, Myrtle Beach, SC 29579-3537 | 2009-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935153 | Quinterria Tenicia Wilson | Registered Nurse | 1110 Malone Ferguson Rd, Garnett, SC 29922-5806 | 2020-09-07 |
| 1740806777 | Lynn Turner Mounir | Registered Nurse | 3504 Woodcone Trl, Anderson, SC 29624-4813 | 2020-06-25 |
| 1598381964 | Takasha Blassingame | Registered Nurse | 118 Camden Dr, Piedmont, SC 29673-9227 | 2020-06-22 |
| 1851915292 | Joey Marie Tan | Registered Nurse | 307 Fairview Lake Way, Simpsonville, SC 29680-7151 | 2020-06-02 |
| 1285256842 | Kala Marissa Elamparo | Registered Nurse | 112 Mitford Way, Fountain Inn, SC 29644-2228 | 2020-05-17 |
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1861014698 | Brenda Angelique Baldwin | Registered Nurse | 158 Beverly Cir, Liberty, SC 29657-8933 | 2020-05-14 |
| 1598387656 | Denise Louise Gasper | Registered Nurse | 107b Lee Ln, Florence, SC 29501-6434 | 2020-05-12 |
| 1679195929 | Lena Marie Jones | Registered Nurse | 400 Delphi Dr, Seneca, SC 29672-6725 | 2020-05-09 |
| 1487275913 | Tashara Anderson | Registered Nurse | 107 Old Oak Dr, Greenwood, SC 29649-1331 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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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.