Active NPI
Cheryl S Kellahan, RN
- School Registered Nurse
- Kingstree, SC
National Provider Identifier
1558707133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 28548
- Practice address
- 500 Lexington Ave
Kingstree, SC 29556-3611 - Phone
- (843) 355-5493
- Fax
- (843) 355-7111
- NPI assigned
- May 22, 2013
- Last updated
- May 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 28548 | SC | Primary |
Addresses
Primary practice location
500 Lexington Ave
Kingstree, SC 29556-3611
Mailing address
500 Lexington Ave
Kingstree, SC 29556-3611
Phone (843) 355-5493
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28548 | SC | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1558707133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LEXINGTON AVE",
"city": "KINGSTREE",
"state": "SC",
"postal_code": "295563611",
"telephone_number": "843-355-5493",
"fax_number": "843-355-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LEXINGTON AVE",
"city": "KINGSTREE",
"state": "SC",
"postal_code": "295563611",
"telephone_number": "843-355-5493",
"fax_number": "843-355-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLAHAN",
"first_name": "CHERYL",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "SC",
"license": "28548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingstree, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.