Individual provider Active NPI

Kim Taylor Hanzlik, RN

  • School Registered Nurse
  • Columbia, SC
National Provider Identifier
1578802856
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
38637 Issued in SC
Practice address
2621 Clemson Rd
Columbia, SC 29229-8035
Phone
(803) 699-2981
Fax
(803) 699-2971
NPI assigned
Feb 7, 2013
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 38637 SC Primary

Addresses

Primary practice location

2621 Clemson Rd
Columbia, SC 29229-8035

Mailing address

2621 Clemson Rd
Columbia, SC 29229-8035
Phone (803) 699-2981

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

LicenseStateTypeSpecialty
38637SCMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1578802856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 CLEMSON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298035",
            "telephone_number": "803-699-2981",
            "fax_number": "803-699-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 CLEMSON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298035",
            "telephone_number": "803-699-2981",
            "fax_number": "803-699-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANZLIK",
        "first_name": "KIM",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "38637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.