1851158687 NPI number — ENVISION PARTNERS

Table of content: KATHERINE GERARD BA, ITFS (NPI 1154622611)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851158687 NPI number — ENVISION PARTNERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ENVISION PARTNERS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851158687
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7512 KARLEY CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIAN LAND
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29707-5901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-517-1060
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
609 ASHEVILLE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SYLVA
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28779-2747
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
980-272-1620
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NUSZ
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PHYSICIAN OWNER
Authorized Official Telephone Number:
803-285-4333

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)