Elizabeth Ryan Kellogg, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21789 Issued in SC

Practice address

1105 N Lafayette Dr Ste a
Sumter, SC 29150-2984

Phone

(803) 934-8833

NPI assigned

Apr 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1366930141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 HATTERAS WAY",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291531966",
            "telephone_number": "717-880-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N LAFAYETTE DR STE A",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502984",
            "telephone_number": "803-934-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "ELIZABETH",
        "middle_name": "RYAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Keith
• Mary Katherine Keith
• Mekaiyah Cherron Keith
• Nicole Keller, PA
• Imani Kelley
• William Scott Kellogg, MD
• Amy Kelly, NP
• Kimberly L Kelly, M.AUD.
• Zachary T Kelly
• Stacey Kelso, OTR/L

• Family Medicine Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.