Active NPI
Kenya Gibbs
- Nurse Practitioner
- Sumter, SC
National Provider Identifier
1407307341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 32267
- Practice address
- 21 Calhoun Street
Sumter, SC 29150 - Phone
- (803) 845-4455
- NPI assigned
- Oct 15, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 32267 | SC | Primary |
Addresses
Primary practice location
21 Calhoun Street
Sumter, SC 29150
Mailing address
500 Canvasback CV
Sumter, SC 29150-3176
Phone (951) 992-0300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 793035 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent Hospice, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Columbia, SC
- NPI 1407140387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1407307341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CANVASBACK CV",
"city": "SUMTER",
"state": "SC",
"postal_code": "291503176",
"telephone_number": "951-992-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CALHOUN STREET",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-845-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "KENYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-15",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "32267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.