Individual provider Active NPI

Kendra McQueen Fling, NP

  • Gerontology Nurse Practitioner
  • Dillon, SC
National Provider Identifier
1427435940
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
19661 Issued in SC
Practice address
207 E Monroe St
Dillon, SC 29536-2557
Phone
(843) 774-4337
Fax
(843) 774-4343
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 19661 SC Primary

Addresses

Primary practice location

207 E Monroe St
Dillon, SC 29536-2557

Mailing address

PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151016000717 SC Practitioner - Nurse Practitioner 5890004741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

609 N Main St
Suite 105
Marion, SC 29571-3033
Phone (843) 289-5061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
At Your Place Healthcare CurrentSince Feb 1, 2025 Accepting new patients
SC House Calls Inc CurrentSince Mar 23, 2023 Accepting new patients
SC House Calls Inc CurrentSince Mar 23, 2023 Accepting new patients
Caresouth Carolina, Inc. Current Accepting new patients

Locations

609 N Main St
Ste 105
Marion, SC 29571
Phone (843) 289-5061

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1427435940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511090",
            "telephone_number": "843-857-0111",
            "fax_number": "843-857-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E MONROE ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362557",
            "telephone_number": "843-774-4337",
            "fax_number": "843-774-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLING",
        "first_name": "KENDRA",
        "middle_name": "MCQUEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "19661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

Verify at the official NPI Registry.