Clayton W Kerns, NREMT

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

SC007245 Issued in SC

Practice address

109 Scotch Rd
Chesterfield, SC 29709-1727

Phone

(843) 623-3362

Fax

(843) 623-6015

NPI assigned

Feb 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1407440720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SCOTCH RD",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297091727",
            "telephone_number": "843-623-3362",
            "fax_number": "843-623-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SCOTCH RD",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297091727",
            "telephone_number": "843-623-3362",
            "fax_number": "843-623-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNS",
        "first_name": "CLAYTON",
        "middle_name": "W",
        "credential": "NREMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "SC",
            "license": "SC007245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckerns@chesterfieldcountysc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 Scotch Rd",
            "city": "Chesterfield",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297091727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jina Hyde
• Susanne Ingram
• Marsha Lynn Jackson
• Timothy Johnson Sr., BACHELOR OF PSYCHOLO
• Pamela L Jones-Monroe, B.A., M.A.
• Sarah Knight, APRN, ANP-BC
• Amy Gaskin Kulo, B.A. M. ED.
• Kathryn Paige Lockey, MCD CF-SLP
• Liza Marie Maguire, SSP, LPES
• Chaniqua Desiree Mazyck, BA

• All providers in Chesterfield, SC
• Basic Emergency Medical Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.