SAMANTHA ELOISE DREW-TACKETT NP NPI 1467097352

NPI Information

NPI: 1467097352
Provider Name: SAMANTHA ELOISE DREW-TACKETT, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: DOCTORS CARE, PA

PECOS Registration: Yes

Address:
4310 HARD SCRABBLE RD
COLUMBIA, SC
ZIP 29229
Phone: (803) 865-6682
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Samantha Eloise Drew-tackett, NP is a family nurse practitioner in Columbia, SC with 5 years of experience. Samantha Eloise Drew-tackett, NP NPI is 1467097352. 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:

4310 HARD SCRABBLE RD
COLUMBIA, SC
ZIP 29229-423
Phone: (803) 865-6682

The NPI 1467097352 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 11/14/2019 and was last updated on 12/11/2019.

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	363LF0000X	Nurse Practitioner	Family	23428	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	1467097352	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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