Active NPI
Kirsten L. Paris, PA-C
- Physician Assistant
- North Charleston, SC
National Provider Identifier
1760886147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2217
- Practice address
- 2550 Elms Center Rd
North Charleston, SC 29406-9844 - Phone
- (843) 302-8840
- Fax
- (843) 818-2188
- NPI assigned
- Oct 14, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2217 | SC | Primary |
Addresses
Primary practice location
2550 Elms Center Rd
North Charleston, SC 29406-9844
Mailing address
201 Sigma Dr
Suite 100
Summerville, SC 29486-7715
Phone (843) 302-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2087PA | Medicaid | SC |
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)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- kirsten.paris@ppcp1.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1760886147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SIGMA DR",
"address_2": "SUITE 100",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294867715",
"telephone_number": "843-302-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 ELMS CENTER RD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069844",
"telephone_number": "843-302-8840",
"fax_number": "843-818-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARIS",
"first_name": "KIRSTEN",
"middle_name": "L.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-14",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2087PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.