Kathleen Marie Lance, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN19005 Issued in SC

Practice address

255 N Highway 52
Suite #8
Moncks Corner, SC 29461-3927

Phone

(843) 899-9420

Fax

(843) 899-9421

NPI assigned

Nov 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Kathleen Marie Earnest Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1225314560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N HIGHWAY 52",
            "address_2": "SUITE #8",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613927",
            "telephone_number": "843-899-9420",
            "fax_number": "843-899-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N HIGHWAY 52",
            "address_2": "SUITE #8",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613927",
            "telephone_number": "843-899-9420",
            "fax_number": "843-899-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCE",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209009043",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN19005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "EARNEST",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terry Lynn Kunkle II, DMD
• Terry Lynn Kunkle Sr., DMD
• Lake Moultrie Dental LLC
• Lakeside Family Center
• Ronice M Lampkin, RN
• Patricia A Landreman, RN
• Lucy N. Lapoint, PA-C
• Scott R Lawrence
• Christi S Lawyer, LPN
• Tiffany Lazenby

• Family Nurse Practitioner in Moncks Corner, SC
• Providers in Moncks Corner, 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 Feb 6, 2015; 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.