Individual provider Active NPI

Katherine Lilly

  • School Registered Nurse
  • North Charleston, SC
National Provider Identifier
1437017902
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
211849 Issued in SC
Practice address
3180 Thomasina McPherson Blvd
North Charleston, SC 29405-8283
Phone
(843) 745-2184
NPI assigned
Jan 13, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WS0200X 211849 SC Primary

Addresses

Primary practice location

3180 Thomasina McPherson Blvd
North Charleston, SC 29405-8283

Mailing address

3180 Thomasina McPherson Blvd
North Charleston, SC 29405-8283

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

LicenseStateTypeSpecialty
211849SCMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1437017902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 THOMASINA MCPHERSON BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 THOMASINA MCPHERSON BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058283",
            "telephone_number": "843-745-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "211849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.