Individual provider Active NPI

Kayla Alexandria Canteen, FNP-BC

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1740937580
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25858 Issued in SC
Practice address
6010 Highway 707 Ste 300
Myrtle Beach, SC 29588-7321
Phone
(843) 347-7216
Fax
(843) 347-7218
NPI assigned
Mar 2, 2022
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25858 SC Primary

Addresses

Primary practice location

6010 Highway 707 Ste 300
Myrtle Beach, SC 29588-7321

Mailing address

300 Singleton Ridge Rd
Attn Credentialing
Conway, SC 29526-9142
Phone (843) 234-6842

Other practice location 1

2376 Cypress Cir Ste 200
Conway, SC 29526-8994
Phone (843) 347-7216

Other practice location 2

5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579
Phone (843) 347-7216

Other identifiers 1

IdentifierTypeStateIssuer
NP8624MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220324001123 SC Practitioner - Nurse Practitioner 8628463841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

6010 Hwy 707
Suite 300
Myrtle Beach, SC 29588-7321
Phone (843) 293-1005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25858SCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. CurrentSince Mar 15, 2025 Accepting new patients
Conway Hospital, Inc. CurrentSince Mar 15, 2025 Accepting new patients
Hartsville Medical Group LLC CurrentSince Apr 1, 2022 Accepting new patients
Conway Hospital, Inc. Family Past Accepting new patients

Locations

2376 Cypress Cir
Ste 200
Conway, SC 29526
Phone (843) 234-1710

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

700 Medical Park Dr
Hartsville, SC 29550
Phone (843) 383-3742

701 Medical Park Dr
Hartsville, SC 29550
Phone (843) 383-2764

701 Medical Park Dr
Ste 207
Hartsville, SC 29550
Phone (843) 332-6645

5010 Carolina Forest Blvd
Myrtle Beach, SC 29579
Phone (843) 236-2700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1740937580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTN CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6842",
            "fax_number": "843-234-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 HIGHWAY 707 STE 300",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887321",
            "telephone_number": "843-347-7216",
            "fax_number": "843-347-7218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2376 Cypress Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268994",
            "country_code": "US",
            "telephone_number": "843-347-7216",
            "fax_number": "843-347-7218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5010 Carolina Forest Blvd",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295793579",
            "country_code": "US",
            "telephone_number": "843-347-7216",
            "fax_number": "843-347-7218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTEEN",
        "first_name": "KAYLA",
        "middle_name": "ALEXANDRIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP8624",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.