Active NPI
Kristin Anne Ivester, RN
- Wound Care Registered Nurse
- Greenville, SC
National Provider Identifier
1750970703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- 74239
- Practice address
- 110 Danvers Road
Greenville, SC 29607-2960 - Phone
- (864) 346-5131
- NPI assigned
- Jan 14, 2021
- 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 |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 74239 | SC | Primary |
Addresses
Primary practice location
110 Danvers Road
Greenville, SC 29607-2960
Mailing address
110 Danvers Road
Greenville, SC 29607
Phone (864) 346-5131
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74239 | SC | MD | Wound Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1750970703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 DANVERS ROAD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29607",
"telephone_number": "864-346-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 DANVERS ROAD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072960",
"telephone_number": "864-346-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVESTER",
"first_name": "KRISTIN",
"middle_name": "ANNE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "SC",
"license": "74239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
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- Katherine Michelle Iversen
- Amber Childress Ives
- Olivia Denise Jamison Ivey, OTR/L
- Melissa Ixcamey, M.D.
- J & J Safe Medical Transportation LLC
- Antonia Elizabeth Jacks, PT, DPT
- Allison Giddings Jackson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.