Carmelita Voncille McDaniels

Primary specialty

SpecialistTaxonomy code 174400000X

License

32456 Issued in SC

Practice address

108 Columbia Northeast Dr
Columbia, SC 29223-6433

Phone

(803) 821-8497

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1689135584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MENLO DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106552",
            "telephone_number": "803-821-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 COLUMBIA NORTHEAST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236433",
            "telephone_number": "803-821-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIELS",
        "first_name": "CARMELITA",
        "middle_name": "VONCILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "32456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kezia McDaniel, NP-C
• Reagan McDaniel
• Santtanu McDaniel Sr., PTA
• Theresa Deneane McDaniel, LPC
• Tracey G. McDaniel, LPC
• Jamae Cherie McDermott, MD
• Katherine Brett McDermott
• Caroline McDevitt
• Mikaila Marion McDevitt, PA
• Leslie B McDill, APRN, FNP

• Specialist in Columbia, SC
• Providers in Columbia, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.