MS. ALA BIANCA NAOMI LUCKY


Address: 1773 Village Park Dr, Orangeburg, SC 29118-2475
Phone: 8035353600

MS. ALA BIANCA NAOMI LUCKY (NPI# 1902391469) 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) 1902391469
Entity Type Individual
Full Name MS. ALA BIANCA NAOMI LUCKY
Credential NP
Practice Address 1773 Village Park Dr
Orangeburg
SC 29118-2475
Practice Telephone 8035353600
Practice Fax Number 8035346300
Mailing Telephone 8035353600
Mailing Fax Number 8035346300
Enumeration Date 2018-06-27
Last Update Date 2018-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 21969 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1773 VILLAGE PARK DR
City ORANGEBURG
State SC
Zip Code 29118-2475

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649253212 Singleton Health Center LLC Family Medicine 1773 Village Park Dr, Orangeburg, SC 29118-2475 2005-11-28
1669649299 Singleton Health Center LLC Clinic/Center 1773 Village Park Dr, Orangeburg, SC 29118-2475 2008-05-13
1538389101 Margaret Grossman Family Medicine 1773 Village Park Dr, Orangeburg, SC 29118-2475 2007-04-26
1780770768 Conita L Hill Physician Assistant 1773 Village Park Dr, Orangeburg, SC 29118-2475 2006-10-05
1568475887 Singleton Health Center Non-Pharmacy Dispensing Site 1773 Village Park Dr, Orangeburg, SC 29118-2475 2006-08-15
1649212887 Stephen H Neff Family Medicine 1773 Village Park Dr, Orangeburg, SC 29118-2475 2006-06-12
1336193713 Monnieque Singleton Family Medicine 1773 Village Park Dr, Orangeburg, SC 29118-2475 2006-05-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386268175 Sharon Y Tremble Speech-Language Pathologist 222 Summit Parkway, Orangeburg, SC 29118 2020-06-08
1922658756 Orangeburg County School District Local Education Agency (LEA) 102 Founders Court, Orangeburg, SC 29118 2019-09-13
1710442967 Central Carolina Endodontics Pa Dentist 888 Cook Road, Orangeburg, SC 29118 2019-02-01
1821572009 Sharon Fogle Counselor 2319 Wt. Matthews Road, Orangeburg, SC 29118 2018-09-24
1104320001 South Carolina Surgical Pa Surgery 3045 St Matthews Road, Orangeburg, SC 29118 2018-03-23
1477056794 Palmetto Moon Anesthesia, LLC Anesthesiology 3045 St. Matthews Rd., Orangeburg, SC 29118 2018-03-13
1730691882 Bio-medical Applications of South Carolina, Inc. Clinic/Center 125 Kinard St, Orangeburg, SC 29118 2017-10-30
1154862746 Latasha Hott Nurse Practitioner 2323 St. Matthews Rd, Orangeburg, SC 29118 2017-03-15
1154786960 R Dale Padgett Md Pa Clinic/Center 1727 Villagepark Dr, Orangeburg, SC 29118 2015-12-21
1881977726 Ontime Transport LLC Non-emergency Medical Transport (VAN) 2851 Pelham Ct, Orangeburg, SC 29118 2011-09-27
Find all providers in zip 29118

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
1255941571 Megan Millhouse Nurse Practitioner 670 Medway Dr, Orangeburg, SC 29118-2823 2020-08-01
1154862746 Latasha Hott Nurse Practitioner 2323 St. Matthews Rd, Orangeburg, SC 29118 2017-03-15
1750511960 Eileen Elizabeth Buckley Nurse Practitioner 32 Fairview Lane, Orangeburg, NY 10962 2009-07-22
1144245739 Tammy A Hightower Nurse Practitioner 620 Magnolia St, Orangeburg, SC 29115-6980 2006-07-13
1154361384 Robin E Jordan Nurse Practitioner 3709 Magnolia St, Sc Nephrology and Hypertension, Orangeburg, SC 29118-1403 2006-06-07
1962463521 Gloria Reed Nurse Practitioner 1727 Village Park Dr, Orangeburg, SC 29118-2475 2006-03-31
1558985150 Faryal Majid Glootz Nurse Practitioner 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 2020-05-31
1346870268 Staccey Bascue Nurse Practitioner 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 2020-01-20
1376185314 Courtney L Snell Nurse Practitioner 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 2019-10-10
1245720101 Dale Lullo Nurse Practitioner 3000 Saint Matthews Rd, Orangeburg, SC 29118 2018-05-16
Find all providers in ORANGEBURG

Competitor

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City ORANGEBURG
Zip Code 29118

Improve Information

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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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