Active NPI
Kimberly Chapman, FNP
- Family Nurse Practitioner
- Columbia, SC
National Provider Identifier
1598816902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2779
- Practice address
- 100 Jimmy Love LN
Columbia, SC 29212-3159 - Phone
- (803) 772-5030
- Fax
- (803) 551-5477
- NPI assigned
- Jan 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2779 | SC | Primary |
Addresses
Primary practice location
100 Jimmy Love LN
Columbia, SC 29212-3159
Mailing address
100 Jimmy Love LN
Columbia, SC 29212-3159
Phone (803) 772-5030
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2779 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Communities Family Practice Assoc Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Family Medicine Physician
- Wellington, FL
- NPI 1043271596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1598816902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 JIMMY LOVE LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292123159",
"telephone_number": "803-772-5030",
"fax_number": "803-551-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 JIMMY LOVE LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292123159",
"telephone_number": "803-772-5030",
"fax_number": "803-551-5477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "KIMBERLY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "2779",
"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 Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.