Individual provider Active NPI

Kristin Webb, NP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1114440419
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27713RX Issued in SC
Practice address
136 Stonemark LN Ste 100C
Columbia, SC 29210-3881
Phone
(888) 701-4661
Fax
(888) 239-2595
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 234588 SC
Family Nurse Practitioner 363LF0000X 27713RX SC Primary

Addresses

Primary practice location

136 Stonemark LN Ste 100C
Columbia, SC 29210-3881

Mailing address

607 Wilmington Street
Beaufort, SC 29902
Phone (843) 525-7615

Other practice location 1

607 wilmington street
beaufort, SC 29902
Phone (843) 525-7615

Other practice location 2

719 Okatie Hwy # 170
Okatie, SC 29909-3963
Phone (843) 987-7400

Other identifiers 1

IdentifierTypeStateIssuer
NP9673MedicaidSC

Other names 1

  • Ms. Kristin Lundy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211000211 SC Practitioner - Nurse Practitioner 9436508983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

136 Stonemark LN
Suite 100C
Columbia, SC 29210-3881
Phone (800) 932-2738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
234588SCMDCommunity Health Registered Nurse
27713RXSCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Apr 1, 2024 Accepting new patients
Hospice Care of South Carolina, LLC CurrentSince Mar 18, 2025 Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc CurrentSince Sep 4, 2023 Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Sep 4, 2023 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661

4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966

721 Okatie Hwy
Okatie, SC 29909

719 Okatie Hwy
Okatie, SC 29909
Phone (843) 987-7408

721 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 987-7492

187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (864) 630-8469

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EICIBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1114440419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 WILMINGTON STREET",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-525-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 STONEMARK LN STE 100C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103881",
            "telephone_number": "888-701-4661",
            "fax_number": "888-239-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 wilmington street",
            "address_purpose": "LOCATION",
            "city": "beaufort",
            "state": "SC",
            "postal_code": "29902",
            "country_code": "US",
            "telephone_number": "843-525-7615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 Okatie Hwy # 170",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299093963",
            "country_code": "US",
            "telephone_number": "843-987-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "234588",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27713RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP9673",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LUNDY",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.