Active NPI
Nina Richelle Kennedy, D.C.
- Chiropractor
- Greer, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3385
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 InmanEnhanced Living ChiropracticEnhanced Living Travelers Rest
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3385 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhanced Living-Simpsonville Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Enhanced Living Chiropractic | Chiropractor | Current | Accepting new patients |
| Enhanced Living Travelers Rest | Chiropractor | Current | Accepting new patients |
| Enhanced Living Inman | Chiropractor | Current | Accepting new patients |
| The Wellness Place | Chiropractor | Past | 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.
-
- Chiropractor
- Greer, SC
- NPI 1700032174
-
- Chiropractor
- Inman, SC
- NPI 1649730821
-
- Chiropractor
- Travelers Rest, SC
- NPI 1063972255
-
- Chiropractor
- Simpsonville, SC
- NPI 1346843489
-
- Chiropractor
- Inman, SC
- NPI 1225061328
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.