Individual provider Active NPI

Erika Jae Kennard, M.S.

  • Audiologist
  • Little River, SC
National Provider Identifier
1093979635
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2978 Issued in SC
Practice address
4000 Highway 9 E
Suite 270
Little River, SC 29566-7833
Phone
(843) 390-4200
Fax
(843) 399-8400
NPI assigned
Jul 14, 2008
Last updated
Jul 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2978 SC Primary

Addresses

Primary practice location

4000 Highway 9 E
Suite 270
Little River, SC 29566-7833

Mailing address

4000 Highway 9 E
Suite 270
Little River, SC 29566-7833
Phone (843) 390-4200

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2978SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II Past Accepting new patients
Seacoast ENT & Facial Plastic Surgery, PA PastSince Feb 11, 2011 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1093979635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HIGHWAY 9 E",
            "address_2": "SUITE 270",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667833",
            "telephone_number": "843-390-4200",
            "fax_number": "843-399-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHWAY 9 E",
            "address_2": "SUITE 270",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667833",
            "telephone_number": "843-390-4200",
            "fax_number": "843-399-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNARD",
        "first_name": "ERIKA",
        "middle_name": "JAE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.