Individual provider Active NPI

Kerry Kiely, ATC

  • Athletic Trainer
  • Charleston, SC
National Provider Identifier
1235728882
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2398 Issued in SC
Practice address
2270 Ashley Crossing Dr
Charleston, SC 29414-5732
Phone
(843) 606-8293
NPI assigned
Jan 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2398 SC Primary

Addresses

Primary practice location

2270 Ashley Crossing Dr
Charleston, SC 29414-5732

Mailing address

1674 Folly Rd Apt 315
Charleston, SC 29412-8709
Phone (845) 416-6688

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kerry.kiely@rsfh.com Direct Roper Saint Francis Physicians Network

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

State licenses

LicenseStateTypeSpecialty
2398SCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1235728882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 FOLLY RD APT 315",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128709",
            "telephone_number": "845-416-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145732",
            "telephone_number": "843-606-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELY",
        "first_name": "KERRY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "2398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kerry.kiely@rsfh.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Roper Saint Francis Physicians Network",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2270 Ashley Crossing Dr",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294145732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jan 18, 2021; 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.