Individual provider Active NPI

Kimberly Lynn Rhoton, ANP

  • Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1013248822
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4058 Issued in SC
Practice address
4050 Bridge View Dr
Suite 500, Perimeter Center
North Charleston, SC 29405-7488
Phone
(843) 746-4030
NPI assigned
Jan 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4058 SC Primary

Addresses

Primary practice location

4050 Bridge View Dr
Suite 500, Perimeter Center
North Charleston, SC 29405-7488

Mailing address

4050 Bridge View Dr
Suite 500, Perimeter Center
North Charleston, SC 29405-7488
Phone (843) 746-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4058SCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1013248822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 BRIDGE VIEW DR",
            "address_2": "SUITE 500, PERIMETER CENTER",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057488",
            "telephone_number": "843-746-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 BRIDGE VIEW DR",
            "address_2": "SUITE 500, PERIMETER CENTER",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057488",
            "telephone_number": "843-746-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOTON",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "4058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.