Individual provider Active NPI

Nina Richelle Kennedy, D.C.

  • Chiropractor
  • Greer, SC
National Provider Identifier
1376790535
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3385 Issued in SC
Practice address
140 Sage Creek Way
Greer, SC 29650-0957
Phone
(864) 848-0640
Fax
(864) 848-0646
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3385 SC Primary

Addresses

Primary practice location

140 Sage Creek Way
Greer, SC 29650-0957

Mailing address

140 Sage Creek Way
Greer, SC 29650-0957
Phone (864) 848-0640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091022000265 SC Practitioner - Chiropractic 8123165248 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Enhanced Living Inman 2 clinicians
Enhanced Living Chiropractic 2 clinicians
Enhanced Living Travelers Rest 2 clinicians

Practice addresses (Care Compare)

11068 Asheville Hwy
B17
Inman, SC 29349-5805
Phone (864) 473-1083

140 Sage Creek Way
Greer, SC 29650-0957
Phone (864) 846-0640

148 Walnut LN
Suite 1
Travelers Rest, SC 29690-1600
Phone (864) 834-8099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3385SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Living-Simpsonville Chiropractic, LLC Chiropractor CurrentSince Nov 24, 2020 Accepting new patients
Enhanced Living Chiropractic Chiropractor CurrentSince Jul 17, 2009 Accepting new patients
Enhanced Living Travelers Rest Chiropractor CurrentSince Mar 30, 2019 Accepting new patients
Enhanced Living Inman Chiropractor CurrentSince Feb 24, 2019 Accepting new patients
The Wellness Place Chiropractor PastSince Feb 24, 2019 Accepting new patients

Locations

140 Sage Creek Way
Greer, SC 29650
Phone (864) 846-0640

11068 Asheville Hwy
Ste B17
Inman, SC 29349
Phone (864) 473-1083

11068 Asheville Hwy
#B17
Inman, SC 29349
Phone (864) 473-1083

227 N Main St
Simpsonville, SC 29681
Phone (864) 757-8500

148 Walnut Ln
Ste 1
Travelers Rest, SC 29690
Phone (864) 834-8099

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1376790535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SAGE CREEK WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500957",
            "telephone_number": "864-848-0640",
            "fax_number": "864-848-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SAGE CREEK WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500957",
            "telephone_number": "864-848-0640",
            "fax_number": "864-848-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "NINA",
        "middle_name": "RICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.