MRS. TINA RENELL GOETHIE-LYONS APRN MSN FNP-BC NPI 1376915934

NPI Information

  • NPI: 1376915934
  • Provider Name: MRS. TINA RENELL GOETHIE-LYONS, APRN, MSN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 719 OKATIE HWY
    OKATIE, SC
    ZIP 29909
  • Phone: (843) 987-7400

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NPI Details

MRS. Tina Renell Goethie-lyons, APRN, MSN, FNP-BC is a family nurse practitioner in Okatie, SC with 10 years of experience. MRS. Tina Renell Goethie-lyons, APRN, MSN, FNP-BC NPI is 1376915934. 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:

719 OKATIE HWY
OKATIE, SC
ZIP 29909-963
Phone: (843) 987-7400
Fax: (843) 986-0566

The NPI 1376915934 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 10/22/2015 and was last updated on 10/9/2024.

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
1363LF0000XNurse PractitionerFamilyAPN.19824.RXSOUTH CAROLINAYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPN.19824.RXSOUTH CAROLINANo

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: 3/30/2025

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