Active NPI
Phillip Bernard Kinard
- Home Health Aide
- Lexington, SC
National Provider Identifier
1831650241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 433 Walking LN
Lexington, SC 29073-9765 - Phone
- (202) 834-1492
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
433 Walking LN
Lexington, SC 29073-9765
Mailing address
433 Walking LN
Lexington, SC 29073-9765
Phone (202) 834-1492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IHCP-1031 | Other | SC | DHEC LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1831650241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 WALKING LN",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290739765",
"telephone_number": "202-834-1492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 WALKING LN",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290739765",
"telephone_number": "202-834-1492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINARD",
"first_name": "PHILLIP",
"middle_name": "BERNARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHEC LICENSE",
"identifier": "IHCP-1031",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.