Individual provider Active NPI

Kimberly Rose Griner

  • Adult Health Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1578422333
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
32248 Issued in SC
Practice address
1105 N Lafayette Dr Ste 2
Sumter, SC 29150-2984
Phone
(803) 938-5421
NPI assigned
Jan 19, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 32248 SC Primary

Addresses

Primary practice location

1105 N Lafayette Dr Ste 2
Sumter, SC 29150-2984

Mailing address

1105 N Lafayette Dr Ste 2
Sumter, SC 29150-2984
Phone (803) 938-5431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1578422333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N LAFAYETTE DR STE 2",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502984",
            "telephone_number": "803-938-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N LAFAYETTE DR STE 2",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502984",
            "telephone_number": "803-938-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINER",
        "first_name": "KIMBERLY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "32248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.