Active NPI
Jessica Anne Krandel
- Internal Medicine Physician
- North Charleston, SC
National Provider Identifier
1437890894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LL87706
- Practice address
- Trident Medical Center
9330 Medical Plaza Dr
North Charleston, SC 29406 - Phone
- (843) 797-7000
- NPI assigned
- Apr 7, 2022
- Last updated
- Feb 26, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | LL87706 | SC | Primary |
Addresses
Primary practice location
Trident Medical Center
9330 Medical Plaza Dr
North Charleston, SC 29406
Mailing address
Trident Medical Center
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 797-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220922003857 | SC | Order and Referring Only - Internal Medicine | 7618352816 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL87706 | SC | MD | Internal Medicine Physician |
Interoperability endpoints
- jessica.krandel.1@15599.direct.athenahealth.com
- jessica.krandel@hca5.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1437890894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TRIDENT MEDICAL CENTER",
"address_2": "9330 MEDICAL PLAZA DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "29406",
"telephone_number": "843-797-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TRIDENT MEDICAL CENTER",
"address_2": "9330 MEDICAL PLAZA DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "29406",
"telephone_number": "843-797-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANDEL",
"first_name": "JESSICA",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL87706",
"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 Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.