Brittainy Tyler Kallgren, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

22103 Issued in SC

Practice address

201 Henry PL
Spartanburg, SC 29306

Phone

(864) 310-6100

NPI assigned

Sep 3, 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

Other names 1

• Brittainy Tyler Bell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1396227682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1427",
            "city": "DRAYTON",
            "state": "SC",
            "postal_code": "293330803",
            "telephone_number": "828-238-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HENRY PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29306",
            "telephone_number": "864-310-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 East Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035399",
            "country_code": "US",
            "telephone_number": "980-352-0042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 East Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035399",
            "country_code": "US",
            "telephone_number": "980-352-0042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALLGREN",
        "first_name": "BRITTAINY",
        "middle_name": "TYLER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-03",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTAINY",
            "last_name": "BELL",
            "middle_name": "TYLER",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darya Kaborda
• Niasaya Kafele, MA, ED.S, LPC
• Kathleen Irina Kalafatis, DO
• Mathew S Kalapurakal, MD
• Padmapriya Kalingiam-Vasudevan, M.D
• Courtney Hill Kallinger, PA-C
• David A Kallman, MD
• Melissa Kamba, PT, DPT
• Vaibhav Kamdar, CRNA
• Donald James Kamer, O.D.

• Nurse Practitioner in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.