Jennifer M Kern DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00119 Issued in SC

Legal business name

JENNIFER M KERN DPM PA

Practice address

3227 Sunset Blvd # D
Ste 101
West Columbia, SC 29169-3201

Phone

(803) 926-8039

Fax

(803) 926-3414

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer M Kern, DPMNPI 1568402790

Title

President

Phone

(803) 926-0039

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer M Kern, DPM

  • Podiatrist
  • West Columbia, SC
  • NPI 1568402790
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1326178880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 SUNSET BLVD # D",
            "address_2": "STE 101",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693201",
            "telephone_number": "803-926-8039",
            "fax_number": "803-926-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 SUNSET BLVD # D",
            "address_2": "STE 101",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693201",
            "telephone_number": "803-926-8039",
            "fax_number": "803-926-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M KERN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-926-0039",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "00119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1335704",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delvina Gladys Jeffries, CERTIFIED HAIR LOSS
• Jenkins Simply Said Counseling Service, LLC
• Ashley Jenkins
• Ebony Shayteva Jenkins, CRNA
• Jenni-Lynn Assisted Living, LLC (Jenni Lynn Assisted Living)
• Carol Demontmollin Jennings, MSP, CCC-SLP
• Jon Patrick Jennings, M.D.
• Dawn Jensen, PHARMD
• Ashley V Jerry, PTA
• Eric D Jewell, NP-C

• Podiatrist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.