Lindsey Diane Kettinger, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18033 Issued in SC

Practice address

1477 Tobias Gadson Blvd
Charleston, SC 29407-4794

Phone

(843) 766-7696

Fax

(843) 556-5882

NPI assigned

Oct 19, 2012

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 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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newton Family Medicine LLCGroup PAC ID 4789949223, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
• Roper Hospital Hospital, Charleston, SC, CCN 420087

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26934/brand/1/csg/1/fhir/r4
• Direct secure messaging: lindsey.kettinger.1@26934.direct.athenahealth.com

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.

• Newton Family Medicine, LLC

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1497206726
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours St. Francis Xavier Hospital Inc.

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1851361778
  Care Compare affiliation
• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare affiliation

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1770836363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13955",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294223955",
            "telephone_number": "843-766-7696",
            "fax_number": "843-556-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 TOBIAS GADSON BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074794",
            "telephone_number": "843-766-7696",
            "fax_number": "843-556-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTINGER",
        "first_name": "LINDSEY",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2397",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Amandus Kessler III, DMD
• Kelly Kesterson
• Yasaman Ketabi
• Christopher A Keto, CRNA
• Christina J Ketron, DNP, APRN, PMHNP-BC
• Lauren Kevern
• Janice D Key, MD
• Patrick M Key, PHARMD
• Tammie Renee Key
• Keystone Chiropractic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.