Kayla Moody Blanton

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

237170 Issued in SC

Practice address

164 Waccamaw Medical Park
Conway, SC 29526-8903

Phone

(843) 234-4888

NPI assigned

Sep 7, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1851177554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WHISPERING OAKS DR",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "295686959",
            "telephone_number": "843-627-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WACCAMAW MEDICAL PARK",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268903",
            "telephone_number": "843-234-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "KAYLA",
        "middle_name": "MOODY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "SC",
            "license": "237170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K. Birringer, PHARMD, RPH
• Desiree Benisha Bishop
• BKD Conway SC LLC
• Elisabeth Blackwell
• Jamond Blake
• Emily Blewitt, MSW
• Donivol Tarrell Blue, D.C.
• Bluebird Healthcare, Inc.
• Russell Allen Boatwright Sr., D.M.D.
• Elizabeth S Boggs-Newbigging, MSW

• Case Management Registered Nurse in Conway, SC
• Providers in Conway, SC by specialty
• Case Management Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.