Kimberly D. Irwin, APRN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21390 Issued in SC

Practice address

1847 S Lake Dr
Lexington, SC 29073-7759

Phone

(803) 356-8998

Fax

(803) 356-8999

NPI assigned

Dec 14, 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)

Enrolled

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1609382597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 TRACK RD",
            "city": "PELION",
            "state": "SC",
            "postal_code": "291239287",
            "telephone_number": "803-261-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737759",
            "telephone_number": "803-356-8998",
            "fax_number": "803-356-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "KIMBERLY",
        "middle_name": "D.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Marie Ingram, M.S, NCC
• Inspire Speech and Feeding LLC
• Institute for Sexual Integrity LLC
• Integral Home Health, LLC
• Kelli Hubbs Irwin, M.A., CCC-SLP
• Isd Renal Inc
• Jean T Isherwood, WHNP-BC
• Sylvia Goodman Iwenofu, PA
• Alice Jackson, PT
• April Michelle Jackson

• Family Nurse Practitioner in Lexington, SC
• Providers in Lexington, 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 Mar 14, 2022; 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.