Active NPI
Kimberly Hare, RN
- Registered Nurse
- Lexington, SC
National Provider Identifier
1376902551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 218873
- Practice address
- 142 Greenbank Dr
Lexington, SC 29073-9750 - Phone
- (803) 381-7501
- Fax
- (803) 820-0698
- NPI assigned
- Feb 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 218873 | SC | Primary |
Addresses
Primary practice location
142 Greenbank Dr
Lexington, SC 29073-9750
Mailing address
142 Greenbank Dr
Lexington, SC 29073-9750
Phone (803) 381-7501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218873 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1376902551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 GREENBANK DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290739750",
"telephone_number": "803-381-7501",
"fax_number": "803-820-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 GREENBANK DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290739750",
"telephone_number": "803-381-7501",
"fax_number": "803-820-0698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARE",
"first_name": "KIMBERLY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-17",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "218873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.