Kimberly Ruth Nance

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1298 Issued in SC

Practice address

1916 Brigadoone Lane
Florence, SC 29505

Phone

(843) 662-9235

NPI assigned

Oct 15, 2008

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1659523199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 BRIGADOONE LN",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053250",
            "telephone_number": "843-662-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 BRIGADOONE LANE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29505",
            "telephone_number": "843-662-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "KIMBERLY",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My House Call Doctor, LLC
• Mitzi Nyrita Myers, RN
• Earl Myrick, PTA
• Swarna Sri Nalluru, MD
• Clyde Carson Nance, MS
• Larab Hassan Naqvi, MD
• Tawana L Nash, M.A., CCC-SLP
• Nicolette B Naso, M.D.
• William B Naso, MD
• National Diabetes Care, LLC.

• Physical Therapy Assistant in Florence, SC
• Providers in Florence, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.