Individual provider Active NPI

Kendall Hormel

  • Critical Care Medicine Registered Nurse
  • Charleston, SC
National Provider Identifier
1174432983
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
269546 Issued in SC
Practice address
525 Verdant Way Unit 2403
Charleston, SC 29492-9073
Phone
(623) 755-3573
NPI assigned
Sep 5, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 269546 SC Primary

Addresses

Primary practice location

525 Verdant Way Unit 2403
Charleston, SC 29492-9073

Mailing address

525 Verdant Way Unit 2403
Charleston, SC 29492-9073
Phone (623) 755-3573

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1174432983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VERDANT WAY UNIT 2403",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294929073",
            "telephone_number": "623-755-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VERDANT WAY UNIT 2403",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294929073",
            "telephone_number": "623-755-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORMEL",
        "first_name": "KENDALL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "SC",
            "license": "269546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.