Courtney Vishae Chatman, BOARD CERTIFIED CNA
Individual provider Active NPI Nurse's Aide · Kingstree, SC
NPI 1114799459 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1114799459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 927 Eastland Ave
Kingstree, SC 29556-2565 - Phone
- (803) 543-5162
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide |
376K00000X | Yes |
Addresses
Primary practice location
927 Eastland Ave
Kingstree, SC 29556-2565
Mailing address
1049 NE Miles Rd
Blythewood, SC 29016-8148
Phone (803) 543-5162
Other providers in Kingstree, SC
- Carolina'S Medical Alliance
- Carolinas Medical Alliance Inc
- Caspers
- Caspers
- Gabrielle Maryann Chandler
- Chatterkidz Speech and Language Therapy, LLC
- Janice Cobb
- Sally Sutton Coker
- Angela Amanda Cooper-Hilton
- Tracy Cooper
All providers in Kingstree, SC · Nurse's Aide in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.