Marlena Dawn Kucinski, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30948 Issued in SC

Practice address

700 Mallard Lakes Dr
Lexington, SC 29072-7674

Phone

(803) 530-1065

NPI assigned

Sep 9, 2025

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

Medicare fee-for-service enrollment

Enrolled in SC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1205717048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MALLARD LAKES DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727674",
            "telephone_number": "803-530-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MALLARD LAKES DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727674",
            "telephone_number": "803-530-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCINSKI",
        "first_name": "MARLENA",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Kopistecki King, LMSW
• William T Korman, MD
• Mirena Kovacheva, PHARMD
• Barbara Ann Kramer, RN
• Arianna Kruidenier
• Dallas William Kuhn, MRC, LPC
• Gerri A Kukucka, NP
• Mark Raymond Kutyla, DPM
• Kyle Garlitz DDS LLC
• Jacob Davis Kyzer III, PHARMD

• Family Nurse Practitioner in Lexington, SC
• Providers in Lexington, 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 Sep 9, 2025; 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.