Active NPI
Kelly L Earwood, MSN RN
- Registered Nurse
- North Charleston, SC
National Provider Identifier
1316465669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 211989
- Practice address
- 4050 Bridge View Dr
North Charleston, SC 29405-7488 - Phone
- (843) 214-4216
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 211989 | SC | |
| Registered Nurse | 163W00000X | 211989 | SC | Primary |
Addresses
Primary practice location
4050 Bridge View Dr
North Charleston, SC 29405-7488
Mailing address
4050 Bridge View Dr
North Charleston, SC 29405-7488
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211989 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504742400000",
"number": "1316465669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 BRIDGE VIEW DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294057488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 BRIDGE VIEW DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294057488",
"telephone_number": "843-214-4216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARWOOD",
"first_name": "KELLY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MSN RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2017-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "211989",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "211989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.