Jodie McCutcheon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

44073 Issued in SC

Practice address

137 N Acline St
Lake City, SC 29560-2107

Phone

(843) 394-8822

NPI assigned

May 14, 2018

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

State licenses

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1922598044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 CREEK RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295606624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N ACLINE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602107",
            "telephone_number": "843-394-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "JODIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "44073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather D Manigault, NURSES AIDE
• Amanda Marlowe
• Aimee Renae Matthews, NP
• Susan Margaret McAlister, MSP, CCC-SLP
• Catherine Elizabeth McBride, RN MSN
• William D. McDaniel, D.M.D.
• Michelle Floyd McDonald, RN
• Fedora McGill
• McKenzie Anesthesia Care LLC
• Betty McKenzie, SLP

• Licensed Practical Nurse in Lake City, SC
• Providers in Lake City, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.