Active NPI
Kim Laboard
- School Psychologist
- Walterboro, SC
National Provider Identifier
1750707980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 258226
- Practice address
- 611 Colleton Loop
Walterboro, SC 29488-3069 - Phone
- (843) 782-0031
- Fax
- (843) 782-0043
- NPI assigned
- Mar 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 258226 | SC | Primary |
Addresses
Primary practice location
611 Colleton Loop
Walterboro, SC 29488-3069
Mailing address
2844 Bohicket Rd
Johns Island, SC 29455-7209
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
| License | State | Type | Specialty |
|---|---|---|---|
| 258226 | SC | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1750707980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2844 BOHICKET RD",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294557209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 COLLETON LOOP",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294883069",
"telephone_number": "843-782-0031",
"fax_number": "843-782-0043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABOARD",
"first_name": "KIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "258226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walterboro, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.