Active NPI
Kellyn Kelemen
- Registered Nurse
- Greenville, SC
National Provider Identifier
1760848105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 224000
- Practice address
- 200 University RDG
Greenville, SC 29601-3635 - Phone
- (864) 282-4100
- NPI assigned
- Jan 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 224000 | SC | Primary |
Addresses
Primary practice location
200 University RDG
Greenville, SC 29601-3635
Mailing address
831 Cleveland St
Apt 214
Greenville, SC 29601-4431
Phone (904) 994-6019
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 |
|---|---|---|---|
| 224000 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1760848105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 CLEVELAND ST",
"address_2": "APT 214",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296014431",
"telephone_number": "904-994-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNIVERSITY RDG",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013635",
"telephone_number": "864-282-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELEMEN",
"first_name": "KELLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "224000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.