Keesha Nicole Everett

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

42D2331796 Issued in SC

Practice address

2000 Park St Ste 1011619
Columbia, SC 29201-2011

Phone

(803) 900-3862

NPI assigned

Oct 18, 2025

Last updated

Oct 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1770450405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PARK ST STE 1011619",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012011",
            "telephone_number": "803-900-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PARK ST STE 1011619",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012011",
            "telephone_number": "803-900-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "KEESHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "42D2331796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyanna Ashley Evans, LISW-CP
• Vilma P Evans
• Lauren Evensen
• Eventus WH Southeast - South Carolina, LLC
• Candelaria Nicolle Everett, MSAT
• Meredith Watson Everett
• Noah David Everett
• Kelsey Nichols Everhart
• Jill Grant Eversmann, M.S., CCC-SLP
• Evona's Home Care

• Clinical Medical Laboratory in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.