Active NPI
Kimberly Denise Fleming, APRN
- Gerontology Nurse Practitioner
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 23039
- Practice address
- 1053 Center Street
SC House Calls Inc
West Columbia, SC 29169 - Phone
- (800) 491-0909
- NPI assigned
- Jul 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 23039 | SC | Primary |
Addresses
Primary practice location
1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Mailing address
1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Phone (800) 491-0909
Other practice location 1
1100 E Cheves St
Florence, SC 29506-2708
Phone (843) 669-6694
Other practice location 2
805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-5000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
101 William H Johnson St
Suite 430
Florence, SC 29506-2769
Phone (843) 777-7290
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23039 | SC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florence Nephrology Associates, LLC | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Advanced Nutrition Consultants Inc | Past | Accepting new patients | |
| Pee Dee Nephrology LLP | Past | Accepting new patients |
Locations
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
101 William H Johnson St
Ste 430
Florence, SC 29506
Phone (843) 777-7290
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Organizations & group practices 5
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.
-
- Nephrology Physician
- Florence, SC
- NPI 1235871146
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
-
- Renal Nutrition Registered Dietitian
- Rock Hill, SC
- NPI 1700204526
-
- Nephrology Physician
- Florence, SC
- NPI 1598825929
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1306498969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 CENTER STREET",
"address_2": "SC HOUSE CALLS INC",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 CENTER STREET",
"address_2": "SC HOUSE CALLS INC",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "800-491-0909"
}
],
"practiceLocations": [
{
"address_1": "1100 E Cheves St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295062708",
"country_code": "US",
"telephone_number": "843-669-6694",
"fax_number": "843-679-4972",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "805 Pamplico Hwy",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295056047",
"country_code": "US",
"telephone_number": "843-674-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEMING",
"first_name": "KIMBERLY",
"middle_name": "DENISE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-14",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "SC",
"license": "23039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.