Active NPI
Carman B Kizer, APRN
- Family Nurse Practitioner
- Rock Hill, SC
National Provider Identifier
1548694714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18463
- Practice address
- 1326 Ebenezer Rd
Rock Hill, SC 29732-2337 - Phone
- (800) 491-0909
- Fax
- (843) 353-2581
- NPI assigned
- Aug 24, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 220032 | NC | |
| Family Nurse Practitioner | 363LF0000X | 18463 | SC | Primary |
Addresses
Primary practice location
1326 Ebenezer Rd
Rock Hill, SC 29732-2337
Mailing address
1624 Main St
Columbia, SC 29201-2818
Phone (803) 726-2350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2582 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220032 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1548694714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 MAIN ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012818",
"telephone_number": "803-726-2350",
"fax_number": "803-753-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322337",
"telephone_number": "800-491-0909",
"fax_number": "843-353-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZER",
"first_name": "CARMAN",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-24",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "220032",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2582",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.