Kannetria Halona Robinson-Davis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21020 Issued in SC

Practice address

880 W Moultrie St
Winnsboro, SC 29180-2411

Phone

(803) 815-5555

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1578074084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 OLD AIRPORT RD",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291808240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W MOULTRIE ST",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291802411",
            "telephone_number": "803-815-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-DAVIS",
        "first_name": "KANNETRIA",
        "middle_name": "HALONA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rapha Wells Primary Health Care
• Regal Homecare and Concierge
• Karen Revels
• Wendy Reynolds
• Renada Richardson, M.A., CACP-I
• Kayleigh M Rushford, FNP
• Agnes Macfie Russell
• Jerelyn S Russell
• Melisa Russell
• SC Department of Juvenile Justice

• Family Nurse Practitioner in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.