MRS. DONNA SHILANE OUTLAW-THOMAS APRN-PMHNP NPI 1093347973

NPI Information

NPI: 1093347973
Provider Name: MRS. DONNA SHILANE OUTLAW-THOMAS, APRN-PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
9005 TWO NOTCH RD
COLUMBIA, SC
ZIP 29223
Phone: (803) 566-7406
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MRS. Donna Shilane Outlaw-thomas, APRN-PMHNP is a psychiatric/mental health nurse practitioner in Columbia, SC. MRS. Donna Shilane Outlaw-thomas, APRN-PMHNP NPI is 1093347973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9005 TWO NOTCH RD
COLUMBIA, SC
ZIP 29223-850
Phone: (803) 566-7406

The NPI 1093347973 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2020 and was last updated on 1/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA2000X	Registered Nurse	Administrator	100313	SOUTH CAROLINA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	24101	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RCO171	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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