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FANTASIA KIMMIAH PEREIRA
NPI 1164169496
Licensed Practical Nurse in Spartanburg, SC

Active since May 18, 2022
250 DEWEY AVE, SPARTANBURG, SC 29303(864) 585-0366 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fantasia Kimmiah Pereira NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FANTASIA KIMMIAH PEREIRA (NPI 1164169496) is an individual licensed practical nurse in Spartanburg, South Carolina, licensed in South Carolina (52767) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1164169496
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameFANTASIA KIMMIAH PEREIRA
Location Address250 DEWEY AVESpartanburg, SC 29303-3009
Mailing Address250 Dewey AveSpartanburg, SC 29303-3009 · (864) 585-0366
Phone(864) 585-0366
Sole ProprietorNo
Enumeration DateMay 18, 2022
NPPES CertifiedMay 18, 2022
✔ NPI 1164169496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in SC · 52767
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
250 DEWEY AVE, Spartanburg, SC 29303
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATRINA HOPE HEREFORD
Counselor
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
SHAKIRA LEAKE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
LAUREN WRIGLEY MSW
Social Worker (Clinical)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (186) 440-6811
KATHY LITTLEJOHN MSW
Counselor (Mental Health)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
TOMONDRA BROWN
Counselor (Mental Health)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
MICHELLLE HORTON
Registered Nurse (Psychiatric/Mental Health)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
ELAISHA GIBSON BA
Social Worker
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
AMBER LACEY ELLISON RN
Registered Nurse (Psychiatric/Mental Health)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fantasia Pereira's NPI number?

The NPI number for Fantasia Pereira is 1164169496. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Where is Fantasia Pereira located?

Fantasia Pereira practices at 250 Dewey Ave, Spartanburg, SC 29303. The listed phone number is (864) 585-0366.

What is Fantasia Pereira's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Fantasia Pereira was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.