Individual provider Active NPI

Kisha Prater, APRN

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1831713288
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24048 Issued in SC
Practice address
111 Doctor Cir
Columbia, SC 29203-6502
Phone
(800) 491-0909
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06200042 SC
Family Nurse Practitioner 363LF0000X 24048 SC Primary

Addresses

Primary practice location

111 Doctor Cir
Columbia, SC 29203-6502

Mailing address

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

Other names 1

  • Kisha Hinton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211020002909 SC Practitioner - Nurse Practitioner 8123416344 Reassigns benefits to 1 organization
I20240702004265 KY Practitioner - Nurse Practitioner 8123416344 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24048SCMDFamily Nurse Practitioner
F06200042SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Oct 4, 2021 Accepting new patients
BHG Xxvi, LLC CurrentSince Jun 1, 2024 Accepting new patients
BHG XXV, LLC CurrentSince Jun 1, 2024 Accepting new patients
BHG Lviii, LLC Current Accepting new patients
BHG XXXV, LLC CurrentSince Jun 1, 2024 Accepting new patients
BHG XXXV, LLC Current Accepting new patients
BHG Xxxiii, LLC CurrentSince Jun 1, 2024 Accepting new patients
BHG Xxiv, LLC CurrentSince Jun 1, 2024 Accepting new patients
BHG Xxxiv, LLC CurrentSince Jun 1, 2024 Accepting new patients
SC House Calls Inc CurrentSince Oct 4, 2021 Accepting new patients

Locations

1000 Ace Dr
Rm 100
Berea, KY 40403
Phone (859) 756-5006

785 W Cumberland Gap Pkwy
Ste 3
Corbin, KY 40701
Phone (606) 526-8941

785 Cumberland Gap Pkwy
Ste 3
Corbin, KY 40701
Phone (606) 526-9348

118 Grand Vue Plz
Ste 118
Hazard, KY 41701
Phone (606) 487-1646

455 Park Pl
Ste 130
Lexington, KY 40511
Phone (859) 276-0533

9850 Von Allmen Ct
Ste 201
Louisville, KY 40241
Phone (480) 269-9248

2705 Olivet Church Rd
Ste 600
Paducah, KY 42001
Phone (270) 443-0096

628 Jefferson Ave
Paintsville, KY 41240
Phone (214) 365-6132

255 Church St
Ste 204
Pikeville, KY 41501
Phone (606) 432-4104

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

5001 Spring Vly
Ste 600E
Dallas, TX 75244

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1831713288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "KISHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F06200042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KISHA",
            "last_name": "HINTON",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.