Kimberly Anne Caldwell, CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

306 Roosevelt Ave
Travelers Rest, SC 29690-1750

Phone

(864) 871-1644

NPI assigned

Feb 10, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Helping Hands Surgical Assisting, LLC

  • Surgical Physician Assistant
  • Travelers Rest, SC
  • NPI 1023405818

  Surgical

  NPD (past) Authorized official

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1003207101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ROOSEVELT AVE",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901750",
            "telephone_number": "864-871-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ROOSEVELT AVE",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901750",
            "telephone_number": "864-871-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Burgess Brunson, PHARMD
• Jennifer Ashley Burrell, PHARMD, RPH
• Elizabeth W Burton, MD
• Kristi Lynn Cabiao, D.O
• Jodi Brook Cain, LISW-CP
• Carolina Ambulance
• Carolina Oaks Travelers Rest, LLC
• William Cathey
• Corrine Chaffee, PHARMD
• Martin Kin Chan, PHARMD, JD

• All providers in Travelers Rest, SC
• Surgical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.