Organization Active NPI

At Your Place Healthcare

  • Adult Health Nurse Practitioner
  • Marion, SC
National Provider Identifier
1366110751
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
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

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Kendra McQueen Fling, AGNPNPI 1427435940
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20250428000913 SC Part B Supplier - Clinic/Group Practice 6406372093 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, SC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.