Kimberly Denise Corn, MSN, RN, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

204457 Issued in SC

Practice address

605 W Main St Ste a
Lexington, SC 29072-2515

Phone

(803) 785-8485

Fax

(803) 785-8486

NPI assigned

May 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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

• MH Health Care Services, PC

  • Nurse Practitioner
  • Lexington, SC
  • NPI 1669052411
  NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1750120937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 FRICK RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168439",
            "telephone_number": "803-518-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W MAIN ST STE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722515",
            "telephone_number": "803-785-8485",
            "fax_number": "803-785-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORN",
        "first_name": "KIMBERLY",
        "middle_name": "DENISE",
        "credential": "MSN, RN, NBC-HWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "204457",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "SC",
            "license": "204457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joanna Cornelius, DMD
• Kelsey Corry
• Andrea Heather Corum Barnhart, BCBA
• Marley Chrisley Costin
• Counseling Concepts Group LLC

• Health & Wellness Coach in Lexington, SC
• Providers in Lexington, SC by specialty
• Health & Wellness Coach in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.