Kelli Washington Fishburne, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06240189 Issued in SC

Practice address

447 Spruce St
Walterboro, SC 29488-2766

Phone

(843) 549-6331

NPI assigned

Jun 18, 2024

Last updated

Aug 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1205679917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "763-348-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 SPRUCE ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882766",
            "telephone_number": "843-549-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 N Cedar St",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294836605",
            "country_code": "US",
            "telephone_number": "763-348-2075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHBURNE",
        "first_name": "KELLI",
        "middle_name": "WASHINGTON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F06240189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NN1868",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fetter Health Care Network, Inc. (Fetter Health Care Network-Walterboro Site)
• Fetter Health Care Network, Inc. (Forest Hills Elementary School)
• Elizabeth Lisa Fick, RN
• Amy Filion, CCC-SLP
• First Hand Physical Therapy, LLC
• Marguerite Louise Fishburne, FNP-BC
• Angela Cowart Fisher, M.D.
• Jared Hamilton Fisher, O.D.
• Megan Anne Fitzwater, COTA/L
• Joseph Flowers, MD

• Family Nurse Practitioner in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.