Kelly Pollard, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

88910 Issued in SC

Practice address

1000 Michigan Ave
Joint Base Charleston, SC 29404-2020

Phone

(843) 767-5914

NPI assigned

Oct 26, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1265159693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MICHIGAN AVE",
            "city": "JOINT BASE CHARLESTON",
            "state": "SC",
            "postal_code": "294042020",
            "telephone_number": "843-767-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MICHIGAN AVE",
            "city": "JOINT BASE CHARLESTON",
            "state": "SC",
            "postal_code": "294042020",
            "telephone_number": "843-767-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "KELLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "88910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane M Martin, PHARM. D
• Alaine Mills, R.D.
• Rebecca Morris-Davis, PHD
• Preston Glover Moten
• Albert Joseph Pendleton
• Amanda Marie Pritchett
• Kelly Reiner, PSYD
• Kristina S Shute, DMD
• Nicholas Trudo

• School Registered Nurse in Joint Base Charleston, SC
• Providers in Joint Base Charleston, SC by specialty
• School Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.