Individual provider Active NPI

Kimberly Ann Danley

  • School Registered Nurse
  • Charleston, SC
National Provider Identifier
1720861552
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
273593 Issued in SC
Practice address
3625 Ashley Phosphate Rd
Charleston, SC 29418-8559
Phone
(843) 764-2200
Fax
(843) 764-2240
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 273593 SC Primary

Addresses

Primary practice location

3625 Ashley Phosphate Rd
Charleston, SC 29418-8559

Mailing address

3625 Ashley Phosphate Rd
Charleston, SC 29418-8559
Phone (843) 764-2200

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

State licenses

LicenseStateTypeSpecialty
273593SCMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc. CurrentSince Aug 27, 2023 Accepting new patients
Fetter Health Care Network, Inc PastSince Aug 27, 2023 Accepting new patients

Locations

3625 Ashley Phosphate Rd
North Charleston, SC 29418
Phone (843) 207-3712

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1720861552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 ASHLEY PHOSPHATE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294188559",
            "telephone_number": "843-764-2200",
            "fax_number": "843-764-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 ASHLEY PHOSPHATE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294188559",
            "telephone_number": "843-764-2200",
            "fax_number": "843-764-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANLEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "273593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

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