Individual provider Active NPI

Kristin Lorraine Hartley, APRN,FNP-C, MSN,BSN

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1235227810
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN 2974 Issued in SC
Practice address
181 Calhoun Street
Charleston, SC 29424
Phone
(843) 953-6375
Fax
(843) 953-6377
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN 2974 SC Primary

Addresses

Primary practice location

181 Calhoun Street
Charleston, SC 29424

Mailing address

2236 Rivermont PL
Charleston, SC 29414-5810
Phone (843) 766-3719

Other names 1

  • Miss Kristin Lorraine Kennedy Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN 2974SCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1235227810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 RIVERMONT PL",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145810",
            "telephone_number": "843-766-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CALHOUN STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29424",
            "telephone_number": "843-953-6375",
            "fax_number": "843-953-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "KRISTIN",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "APRN,FNP-C, MSN,BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APRN 2974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "KENNEDY",
            "middle_name": "LORRAINE",
            "prefix": "MISS",
            "credential": "APRN, FNP C,MSN,BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 20, 2022; 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.