Elizabeth Dawn Lattimer, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22846 Issued in SC

Practice address

702 6TH Ave S Ste 5
North Myrtle Beach, SC 29582-3568

Phone

(843) 249-5433

NPI assigned

Jun 7, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1629637277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 WINDING RIVER DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769787",
            "telephone_number": "304-476-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 6TH AVE S STE 5",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823568",
            "telephone_number": "843-249-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIMER",
        "first_name": "ELIZABETH",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Kupcha, MA
• Veda Lamar Nichols, LPC-A
• Maggie Reaves Langdale, PHARMD
• Morgan Lee Laprade
• Brian J. Lattimer, DC
• Stephanie Lee, COTA
• Harriet Lemmon, RN, BSN
• Lennon Chiropractic Center, LLC
• Charles Lloyd Lennon III, D.C.
• Leah M. Leuthauser, MA, LPC

• Family Nurse Practitioner in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.