Lisa Weatherford Yascavage, RN
Individual provider Active NPI School Registered Nurse · Warrenville, SC
NPI 1487085734 · NPPES record last updated Dec 11, 2013
Key facts
- NPI
- 1487085734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- R38395 (GA)
- Practice address
- 569 Howlandville Rd
Warrenville, SC 29851-3430 - Phone
- (803) 663-4270
- Fax
- (803) 663-4271
- NPI assigned
- Dec 11, 2013
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R38395 | GA | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R38395 | GA | Yes |
Addresses
Primary practice location
569 Howlandville Rd
Warrenville, SC 29851-3430
Mailing address
569 Howlandville Rd
Warrenville, SC 29851-3430
Phone (803) 663-4270
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163WA2000X | Medicaid | SC |
Other providers in Warrenville, SC
- Renew Yourself Health and Beauty Bar
- Holly Brooke Rittenberry
- Southern Care Providers, LLC
- Cynthia Ann Tomaszewski
- Ashley H Wheeler
All providers in Warrenville, SC · School Registered Nurse 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 Dec 11, 2013. 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.