ELAINE MARIE NOONAN


Address: 877 W Faris Rd, Suite D, Greenville, SC 29605-4254
Phone: 8644559031

ELAINE MARIE NOONAN (NPI# 1902859218) 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) 1902859218
Entity Type Individual
Full Name ELAINE MARIE NOONAN
Credential FNP
Practice Address 877 W Faris Rd
Suite D
Greenville
SC 29605-4254
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4545
Practice Telephone 8644559031
Practice Fax Number 8644559080
Mailing Telephone 8647976044
Enumeration Date 2006-05-18
Last Update Date 2013-08-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3080 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC RR MEDICARE P00437305 01
SC NP1094 05
SC BCBS OF SC 576007863063 01

Office Location

Street Address 877 W FARIS RD
SUITE D
City GREENVILLE
State SC
Zip Code 29605-4254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831175983 H Graham Parker II Internal Medicine 877 W Faris Rd, Ste B, Greenville, SC 29605-4289 2005-12-21
1861048688 Anna Pepin Ott Nurse Practitioner 877 W Faris Rd, Greenville, SC 29605 2019-08-16
1447811591 Perasanth Sovunthararajan Student in an Organized Health Care Education/Training Program 877 W Faris Rd, Greenville, SC 29605-4289 2019-06-27
1982261434 Megan David Student in an Organized Health Care Education/Training Program 877 W Faris Rd, Greenville, SC 29605-4289 2019-05-21
1235796848 Kirsten Barnes Student in an Organized Health Care Education/Training Program 877 W Faris Rd, Greenville, SC 29605-4289 2019-05-20
1407412281 Megan Lee Wai-ling Hanna Student in an Organized Health Care Education/Training Program 877 W Faris Rd, Greenville, SC 29605-4289 2019-05-16
1699331165 Amanda Beth Alldredge Student in an Organized Health Care Education/Training Program 877 W Faris Rd, Greenville, SC 29605-4289 2019-05-10
1962068387 Geoffrey Ellis Pittman Student in an Organized Health Care Education/Training Program 877 W Faris Rd, Greenville, SC 29605-4289 2019-05-10
1033774633 Bruce Palmer Freshley Jr. Student in an Organized Health Care Education/Training Program 877 W Faris Rd, Greenville, SC 29605-4289 2019-05-08
1982190914 Brynlynn Daniel Pitt Student in an Organized Health Care Education/Training Program 877 W Faris Rd, Greenville, SC 29605 2018-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205306099 Prisma Health University Medical Group Family Medicine 110 Osage Drive, Greenville, SC 29605 2018-12-05
1306325626 Lauren Foster Fiscus Occupational Therapist 1900 Augusta Street, Suite 2500, Greenville, SC 29605 2018-08-08
1063914372 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1720 Augusta St, Greenville, SC 29605 2018-03-02
1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
1134658420 Trace Christopher Deighan Obstetrics & Gynecology 890 West Faris Road, Suite 470, Greenville, SC 29605 2017-06-08
1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
1205286895 Med-trans Corporation Ambulance 552 Perimeter Rd, Greenville, SC 29605 2016-06-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285234237 Vb Medical Group LLC Nurse Practitioner 10047 Whispering Wind Dr, Greenville, IN 47124-9704 2020-10-29
1700403276 Carolyn Lisa Fry Nurse Practitioner 500 Baylor Dr Apt Suite, Greenville, TX 75402-8005 2020-07-01
1033744701 Jennifer C Carpenter Nurse Practitioner 2018 County Road 3318, Greenville, TX 75402-5268 2020-03-03
1659904183 Joante Kirk Nurse Practitioner 1699 S Main St, Greenville, MS 38701-7364 2020-02-12
1578103859 Michelle Earley Nurse Practitioner 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 2020-01-14
1871138149 Paola Andrea Mora Tobon Nurse Practitioner 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 2019-11-11
1144863895 Rashemia Latricia Suber Nurse Practitioner 814 Riviera Cir N, Greenville, MS 38701-8029 2019-10-25
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1487116745 Megan Rogers Semanski Nurse Practitioner 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 2019-04-04
1053884247 Renee L Bridges Nurse Practitioner 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 2019-01-10
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Competitor

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City GREENVILLE
Zip Code 29605

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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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