Kathy Vidal, RN

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

72885 Issued in SC

Practice address

2000 Hampton St
Columbia, SC 29204-1002

Phone

(803) 576-2967

Fax

(803) 576-2985

NPI assigned

Aug 15, 2016

Last updated

Aug 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1124572599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 LAFAYETTE AVE",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333226",
            "telephone_number": "803-243-1745",
            "fax_number": "803-576-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041002",
            "telephone_number": "803-576-2967",
            "fax_number": "803-576-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "KATHY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "SC",
            "license": "72885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57-6000286",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Via, MD
• James Viapiano, M.D.
• Lucy Elvira Vicioso-Harris, LPC
• Quanterria Vick, AADC
• Peyton Vickers
• Maria Regina Vidanes
• Village Concepts Consultants, LLC
• Arbed A Villalobos-Ramos, BT
• Paula Villalobos
• Faith Villanueva, MD

• Maternal Newborn Registered Nurse in Columbia, SC
• Providers in Columbia, SC by specialty
• Maternal Newborn Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.