Individual provider Active NPI

Stephanie Sabrina Kinard-Suber, OTR

  • Occupational Therapist
  • Irmo, SC
National Provider Identifier
1326243080
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4744 Issued in SC
Practice address
1002 Steeple Ridge Rd
Irmo, SC 29063-8041
Phone
(803) 271-2364
Fax
(803) 708-5618
NPI assigned
Jun 20, 2007
Last updated
Mar 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4744 SC Primary

Addresses

Primary practice location

1002 Steeple Ridge Rd
Irmo, SC 29063-8041

Mailing address

113 Westshire PL
Columbia, SC 29210-4663
Phone (706) 951-8052

Other names 1

  • Stephanie Kinard Former name

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

State licenses

LicenseStateTypeSpecialty
4744SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1326243080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WESTSHIRE PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104663",
            "telephone_number": "706-951-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 STEEPLE RIDGE RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638041",
            "telephone_number": "803-271-2364",
            "fax_number": "803-708-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINARD-SUBER",
        "first_name": "STEPHANIE",
        "middle_name": "SABRINA",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KINARD",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.