Individual provider Active NPI

Kristen Leigh Tallon, FNP

  • Family Nurse Practitioner
  • Simpsonville, SC
National Provider Identifier
1841640216
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20158 Issued in SC
Practice address
300 Scuffletown Rd
Simpsonville, SC 29681-7204
Phone
(864) 329-0029
Fax
(864) 329-8125
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20158 SC Primary

Addresses

Primary practice location

300 Scuffletown Rd
Simpsonville, SC 29681-7204

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

35 Ray E Talley Ct
Simpsonville, SC 29680-6772
Phone (864) 967-7028

Other practice location 2

11402 Anderson Rd
Greenville, SC 29611-7557
Phone (864) 631-2799

Other identifiers 1

IdentifierTypeStateIssuer
NP4220MedicaidSC

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
I20210526003051 SC Practitioner - Nurse Practitioner 6204118516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

11402 Anderson Rd
Greenville, SC 29611-7557
Phone (864) 990-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Feb 7, 2023 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 20, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 20, 2022 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

11402 Anderson Rd
Powdersville, SC 29611
Phone (864) 631-2799

300 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 329-0029

Interoperability endpoints

  • Direct secure messaging: ktallon461570@direct.ghs.myhfn.org

Organizations & group practices 3

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1841640216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SCUFFLETOWN RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817204",
            "telephone_number": "864-329-0029",
            "fax_number": "864-329-8125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Ray E Talley Ct",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296806772",
            "country_code": "US",
            "telephone_number": "864-967-7028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11402 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296117557",
            "country_code": "US",
            "telephone_number": "864-631-2799",
            "fax_number": "864-522-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLON",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4220",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.