Kecia Gaddist, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

4100040419 Issued in SC

Practice address

4660 River Rd
Johns Island, SC 29455-8833

Phone

(843) 806-7177

NPI assigned

May 12, 2021

Last updated

May 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1578137709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 RIVER RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558833",
            "telephone_number": "843-806-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 RIVER RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558833",
            "telephone_number": "843-806-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIST",
        "first_name": "KECIA",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "SC",
            "license": "4100040419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumaya C Florez
• Foundation Physiotherapy LLC
• Franklin C. Fetter Family Health Center, Inc (Rural Mission Migrant Site-Johns Island)
• Ladawn Frasier, LMT, DOULA, CHHP
• Jacquelyn Paige French, APRN, BC,RN,CS,NP
• Robert Beasley Gamble III, D.M.D
• Bryan Andrew Game, D.M.D., M.B.A.
• Jeffrey Clark Gersbach, M.D.
• Jamie Kara Giangreco, RN
• Gloria H Gibbs

• Nurse's Aide in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Nurse's Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.