Active NPI
Kayla Blann, FNP-C
- Nurse Practitioner
- Charleston, SC
National Provider Identifier
1902650120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 29110
- Practice address
- 2294 Otranto Rd
Charleston, SC 29406-9603 - Phone
- (843) 225-2550
- NPI assigned
- Apr 15, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 29110 | SC | Primary |
Addresses
Primary practice location
2294 Otranto Rd
Charleston, SC 29406-9603
Mailing address
2701 Sevier Ave Apt A11
Knoxville, TN 37920-2596
Phone (443) 988-1438
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2294 Otranto Rd
North Charleston, SC 29406-9603
Phone (843) 225-2550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29110 | SC | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Pain Relief Center | Current | Accepting new patients |
Locations
2294 Otranto Rd
North Charleston, SC 29406
Phone (843) 225-2550
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.
-
- Physical Medicine & Rehabilitation Physician
- North Charleston, SC
- NPI 1699047746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1902650120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 SEVIER AVE APT A11",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379202596",
"telephone_number": "443-988-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2294 OTRANTO RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294069603",
"telephone_number": "843-225-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANN",
"first_name": "KAYLA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "29110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.