Kay Berland, FNP
Individual provider Active NPI Community Health Registered Nurse · Savannah, GA
NPI 1194935650 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194935650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- RN064957 (GA)
- Practice address
- 125 Fahm St
Savannah, GA 31401-2391 - Phone
- (912) 495-8887
- Fax
- (912) 495-8881
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190222000448 | SC | Practitioner - Nurse Practitioner | 9739322322 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN064957 | GA | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fetter Health Care Network, Inc | Current |
Accepting new patients | |
| Fetter Health Care Network, Inc. | Current |
Accepting new patients | |
| Fetter Health Care Network, Inc. | Current |
Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current |
Accepting new patients | |
| Fetter Health Care Network, Inc. | Current |
Accepting new patients | |
| Union Mission, Inc | Past | Accepting new patients |
Locations
35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477
51 Nassau St
Charleston, SC 29403
5225 Highway 165
Hollywood, SC 29449
Phone (843) 670-5474
106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995
130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444
302 Medical Park Dr
Ste 111
Walterboro, SC 29488
Phone (843) 549-6853
302 Medical Park Dr
Ste 200
Walterboro, SC 29488
Phone (843) 549-6853
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN064957 | GA | Yes |
Addresses
Primary practice location
125 Fahm St
Savannah, GA 31401-2391
Mailing address
120 Fahm St
Savannah, GA 31401-2392
Phone (912) 495-8887
Other providers in Savannah, GA
- Glynn A Bergeron
- Hannah Bergren
- Berkman Neal, LLC
- Kevin A Berkman
- Dale Berland
- Kasey Reeves Berman
- Paula Edith Bermann
- Jessica Bernard
- Kimberly Bernat
- Erik D Bernstein
All providers in Savannah, GA · Community Health Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.