Karyn Ashley Repass Shea, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

11724 Issued in SC

Practice address

51 Nassau St
Charleston, SC 29403-5513

Phone

(843) 722-4112

Fax

(843) 722-5726

NPI assigned

Nov 16, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1164024923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 STANTON PL",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793390",
            "telephone_number": "423-384-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 NASSAU ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035513",
            "telephone_number": "843-722-4112",
            "fax_number": "843-722-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPASS SHEA",
        "first_name": "KARYN",
        "middle_name": "ASHLEY",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "SC",
            "license": "11724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Renner, RN, BSN
• Anna Chandler Rennison, M.A.
• Jane F. Reno-Munro, NP
• Charity R Reno
• Mark Allen Rentfrow, PT, DPT
• Leah Jane Repko, MS,RDN
• Patrick Ray Reppert, M.D.
• Alexander Requarth, MD
• Resolution Diagnostics LLC
• Jaymie Respecki

• Dental Hygienist in Charleston, SC
• Providers in Charleston, SC by specialty
• Dental Hygienist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.