Dana L Katz, FNP
Individual provider Active NPI Family Nurse Practitioner · Saint Stephen, SC
NPI 1720045461 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1720045461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1176 (SC)
- Practice address
- 137 Cedar Dr
Saint Stephen, SC 29479-3371 - Phone
- (843) 567-4000
- Fax
- (843) 567-3000
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Doctors LLC | Current |
Accepting new patients | |
| Liberty Doctors, LLC | Current |
Accepting new patients |
Locations
418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320
110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503
137 Cedar Dr
Saint Stephen, SC 29479
Phone (843) 567-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1176 | SC | Yes |
Addresses
Primary practice location
137 Cedar Dr
Saint Stephen, SC 29479-3371
Mailing address
PO Box 100523
Florence, SC 29502-0523
Phone (843) 669-5162
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0511 | Medicaid | SC |
Other providers in Saint Stephen, SC
- Classie Ewell
- Family Practice of St. Stephen, PA
- Charon Gadsden
- Barbara F Gregg
- Jamie Y Driggers DMD Inc.
- Audrey Diane Morrell
- Charles D Myers Jr.
- North Berkeley Family Care, LLC
- Palmetto Primary Care Physicians, LLC
- Latonna Pearson
All providers in Saint Stephen, SC · Family Nurse Practitioner 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, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.