Kendall Shelby Rivers

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1720 Andrews Mill Rd
Lamar, SC 29069-8915

Phone

(843) 319-0830

NPI assigned

Mar 10, 2023

Last updated

Mar 10, 2023By the provider in NPPES

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)

Not enrolled

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1619678240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 ANDREWS MILL RD",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "290698915",
            "telephone_number": "843-319-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 ANDREWS MILL RD",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "290698915",
            "telephone_number": "843-319-0830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Andrews Mill Rd",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "SC",
            "postal_code": "290698915",
            "country_code": "US",
            "telephone_number": "843-319-0830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "KENDALL",
        "middle_name": "SHELBY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Dennis Murphy, FNP
• Tina Celeste Outlaw, BSW,MSW, LISW-CP
• Catherine Cummings Parnell, RN
• Piggly Wiggly of Lamar LLC (Piggly Wiggly Pharmacy #196)
• Piggly Wiggly Retail Stores, Inc. (Piggly Wiggly Pharmacy #112)
• Jim Sandlin, RPH
• Jacqueline G. Stephens, PHD, APRN, AGNP-C
• Tony Skorput, PA (Skorput Rehabilitation & Wellness)
• April Watford
• Wes Corporation, Inc. (Omnipresent Adult Day Care)

• Athletic Trainer in Lamar, SC
• Providers in Lamar, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.