Individual provider Active NPI

Kelly Arashin Bouthillet, APRN, ACNP-BC

  • Family Nurse Practitioner
  • Hilton Head Island, SC
National Provider Identifier
1881939031
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN17947 Issued in SC
Practice address
15 Northridge Dr
Hilton Head Island, SC 29926-3764
Phone
(843) 681-6612
NPI assigned
Nov 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN17947 SC Primary
Acute Care Nurse Practitioner 363LA2100X 17947 SC
Acute Care Nurse Practitioner 363LA2100X RN158158 GA

Addresses

Primary practice location

15 Northridge Dr
Hilton Head Island, SC 29926-3764

Mailing address

15 Northridge Dr
Hilton Head, SC 29926-3764
Phone (843) 681-6612

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17947SCMDSpecialist
RN158158GAMDAcute Care Nurse Practitioner
APN17947SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers in Medicine PastSince Dec 14, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kelly.bouthillet.1@21022.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21022/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelly.bouthillet.p77@direct.tenet.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1881939031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NORTHRIDGE DR",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299263764",
            "telephone_number": "843-681-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NORTHRIDGE DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299263764",
            "telephone_number": "843-681-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTHILLET",
        "first_name": "KELLY",
        "middle_name": "ARASHIN",
        "credential": "APRN, ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN17947",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "17947",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN158158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.