Individual provider Active NPI

Kelly Herring, FNP

  • Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1801360748
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22034 Issued in SC
Practice address
779 Senate Pkwy
Anderson, SC 29621-1820
Phone
(864) 224-8716
NPI assigned
Jan 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22034 SC Primary

Addresses

Primary practice location

779 Senate Pkwy
Anderson, SC 29621-1820

Mailing address

105 Ashby CT
Anderson, SC 29625-1937

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190501003219 SC Practitioner - Nurse Practitioner 2668714197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Internal Medicine of Anderson PAGroup PAC ID 4688777857, 6 clinicians

Practice addresses (Care Compare)

779 Senate Pkwy
Anderson, SC 29621-1820
Phone (864) 224-8716

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22034SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Internal Medicine of Anderson PA CurrentSince Feb 26, 2019 Accepting new patients

Locations

779 Senate Pkwy
Anderson, SC 29621
Phone (864) 224-8716

Interoperability endpoints

  • Direct secure messaging: kherring26512@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1801360748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ASHBY CT",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 SENATE PKWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211820",
            "telephone_number": "864-224-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "KELLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.