Lakisha Danielle Fladger

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

29778 Issued in SC

Practice address

3656 S Irby St Ste A1068
Florence, SC 29505-5225

Phone

(843) 621-6760

NPI assigned

Dec 23, 2024

Last updated

Dec 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Supportive Care of South Carolina LLC

  • Clinical Psychologist
  • Mount Pleasant, SC
  • NPI 1417681412
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1306654215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 S IRBY ST STE A1068",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295055225",
            "telephone_number": "843-621-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3656 S IRBY ST STE A1068",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295055225",
            "telephone_number": "843-621-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLADGER",
        "first_name": "LAKISHA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "29778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysta Webster Fink, PH.D.
• Kitty F. Finklea, RD
• First Excellence LLC
• First Vision Group,LLC
• Tonja Fitzpatrick
• Carmen Nicole Fleming, M.S., LPC
• Jonetha Monique Fleming, PHARM.D.
• Monty M Fleming
• Florence Brace & Limb Inc
• Florence CK, LLC

• Psychiatric/Mental Health Nurse Practitioner in Florence, SC
• Providers in Florence, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.