Active NPI
At Your Place Healthcare
- Adult Health Nurse Practitioner
- Marion, SC
National Provider Identifier
1366110751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- AT YOUR PLACE HEALTHCARE
- Practice address
- 609 N Main St Ste 105
Marion, SC 29571-3033 - Phone
- (843) 289-5061
- Fax
- (843) 289-5061
- NPI assigned
- Sep 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kendra McQueen Fling, AGNP
- Title
- Owner
- Phone
- (843) 289-9061
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Adult Health Nurse Practitioner | 363LA2200X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
609 N Main St Ste 105
Marion, SC 29571-3033
Mailing address
404 McTavish Moor CT
Marion, SC 29571-6812
Phone (843) 289-9061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250428000913 | SC | Part B Supplier - Clinic/Group Practice | 6406372093 |
Receives reassigned benefits from 1 practitioner Practice locations: Marion, SC |
National Provider Directory
National Provider DirectoryLocations
609 N Main St
Ste 105
Marion, SC 29571
Phone (843) 289-5061
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745193600000",
"number": "1366110751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 MCTAVISH MOOR CT",
"city": "MARION",
"state": "SC",
"postal_code": "295716812",
"telephone_number": "843-289-9061",
"fax_number": "888-405-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 N MAIN ST STE 105",
"city": "MARION",
"state": "SC",
"postal_code": "295713033",
"telephone_number": "843-289-5061",
"fax_number": "843-289-5061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT YOUR PLACE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-01",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A",
"authorized_official_last_name": "FLING",
"authorized_official_first_name": "KENDRA",
"authorized_official_middle_name": "MCQUEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-289-9061",
"authorized_official_credential": "AGNP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.