IVY HEALTH SOLUTIONS LLC NPI 1144828468

NPI Information

NPI: 1144828468
Provider Name: IVY HEALTH SOLUTIONS LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 42D2196823

Address:
4100 N MAIN ST STE 201
COLUMBIA, SC
ZIP 29203
Phone: (803) 260-3679
Get Directions

IVY HEALTH SOLUTIONS LLC is a family nurse practitioner in Columbia, SC. IVY HEALTH SOLUTIONS LLC NPI is 1144828468. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4100 N MAIN ST STE 201
COLUMBIA, SC
ZIP 29203-800
Phone: (803) 260-3679

The provider's authorized official is Sheila Darlene Belton-gaymon .
The authorized official title is Nurse Practitioner/ Co-owner/member and has the following contact phone number (803) 260-3679.

The CLIA number assigned to this NPI record is 42D2196823 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2020 and was last updated on 10/9/2020.

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	363LP2300X	Nurse Practitioner	Primary Care			No
2	363LF0000X	Nurse Practitioner	Family			Yes

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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