Kimberly Marie Kinkade, APRN, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

25520 Issued in SC

Practice address

2067 Charlie Hall Blvd
Charleston, SC 29414-5834

Phone

(843) 573-2535

Fax

(843) 573-2534

NPI assigned

May 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.kinkade.1@1152.direct.athenahealth.com
• Direct secure messaging: direct@direct.musc.edu
• Direct secure messaging: kkinkade372745@direct.musc.edu

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.

• Carolina Family Care, Inc

  dba MUSC Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722
  Medicare reassignment NPD
• Carolina Family Care, Inc

  dba MUSC Physicians Primary Care

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1003846783
  NPD
• Carolina Family Care, Inc

  dba MUSC Physicians PCP

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1750318101
  NPD (past)
• Coastal Pediatric Associates, P.a.

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1770700759
  NPD (past)

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1760617005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602108",
            "telephone_number": "843-573-2535",
            "fax_number": "843-573-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-573-2535",
            "fax_number": "843-573-2534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 2nd Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294867889",
            "country_code": "US",
            "telephone_number": "843-737-9494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 2nd Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294867889",
            "country_code": "US",
            "telephone_number": "843-737-9494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8316 Traford Ln",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221521654",
            "country_code": "US",
            "telephone_number": "703-569-8400",
            "fax_number": "703-569-1182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 2nd Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294867889",
            "country_code": "US",
            "telephone_number": "843-737-9465",
            "fax_number": "843-737-9466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1952 Long Grove Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294647579",
            "country_code": "US",
            "telephone_number": "843-971-2992",
            "fax_number": "843-971-2998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "776 Daniel Ellis Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294123094",
            "country_code": "US",
            "telephone_number": "843-795-8100",
            "fax_number": "843-722-3010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Hospital Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643217",
            "country_code": "US",
            "telephone_number": "843-737-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINKADE",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "25520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP7962",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "175150023",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760617005",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2067 Charlie Hall Blvd",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294145834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William King
• Chloe Kingery, MS, LPC
• Anna Kingrey
• Dona M Kingsley, MA, LPC
• Nathan Kingstad, PMHNP
• Hannah Kinkead, CCC-SLP
• William Knox Kinlaw Jr., MD
• De'Nae Kinloch
• Pamela D Kinloch, RN
• Jennifer Kinnard, M.D.

• Primary Care Nurse Practitioner in Charleston, SC
• Providers in Charleston, SC by specialty
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.