Active NPI
Kayla Stroble Colson
- Community Health Registered Nurse
- Varnville, SC
National Provider Identifier
1578030003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 240880
- Practice address
- 531 W Carolina Ave
Varnville, SC 29944 - Phone
- (803) 943-3878
- NPI assigned
- Nov 2, 2018
- Last updated
- Nov 2, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 240880 | SC | Primary |
Addresses
Primary practice location
531 W Carolina Ave
Varnville, SC 29944
Mailing address
249 Old Millpond Rd
Reevesville, SC 29471-4602
Phone (843) 560-0598
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
| License | State | Type | Specialty |
|---|---|---|---|
| 240880 | SC | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1578030003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 OLD MILLPOND RD",
"city": "REEVESVILLE",
"state": "SC",
"postal_code": "294714602",
"telephone_number": "843-560-0598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 W CAROLINA AVE",
"city": "VARNVILLE",
"state": "SC",
"postal_code": "29944",
"telephone_number": "803-943-3878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLSON",
"first_name": "KAYLA",
"middle_name": "STROBLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "240880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Varnville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.