Individual provider Active NPI

Kim Shapiro, APN

  • Women's Health Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1952448706
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
27868 Issued in SC
Practice address
51 Nassau St
Charleston, SC 29403-5513
Phone
(843) 722-4112
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 27868 SC Primary

Addresses

Primary practice location

51 Nassau St
Charleston, SC 29403-5513

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Other identifiers 2

IdentifierTypeStateIssuer
27868MedicaidSC
27868OtherSC27868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, SC2 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
I20140904000351 NJ Practitioner - Nurse Practitioner 0648498675 Reassigns benefits to 2 organizations
I20250305004195 SC Practitioner - Nurse Practitioner 0648498675 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 Cranbury Rd
Suite LL90
East Brunswick, NJ 08816-4098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Jul 3, 2017 Accepting new patients
Ocean Health Initiatives Inc Current Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Dec 8, 2024 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Dec 8, 2024 Accepting new patients
Fetter Health Care Network Inc CurrentSince Dec 8, 2024 Accepting new patients
Ocean Health Initiatives,Inc CurrentSince Sep 15, 2014 Accepting new patients
A Woman'S Place, LLC CurrentSince Jan 8, 2024 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Dec 8, 2024 Accepting new patients
Fetter Health Care Network, Inc. Current Accepting new patients
Regional Women'S Health Group, LLC CurrentSince Jul 3, 2017 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Dec 8, 2024 Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Sep 15, 2014 Accepting new patients
Fetter Health Care Network, Inc CurrentSince Dec 8, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients

Locations

310 State Route 34
Colts Neck, NJ 07722
Phone (732) 578-9640

620 Cranbury Rd
Ste LL90
East Brunswick, NJ 08816
Phone (732) 257-0081

751 Route 206
Fl 2
Hillsborough, NJ 08844
Phone (908) 725-2510

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

820 County Line Rd E
Lakewood, NJ 08701
Phone (732) 364-2711

34 Sycamore Ave
Ste 2A
Little Silver, NJ 07739
Phone (732) 747-9310

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

51 Nassau St
Charleston, SC 29403

106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995

679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

302 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-6853

302 Medical Park Dr
Ste 111
Walterboro, SC 29488
Phone (843) 549-6853

Interoperability endpoints

  • Direct secure messaging: kim.shapiro.1@11915.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/sqiH60CNKO9o0PByEO9XAxX0dZX5s5b2/
  • Direct secure messaging: kim.shapiro@axia.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1952448706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 NASSAU ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035513",
            "telephone_number": "843-722-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "KIM",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SC",
            "license": "27868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27868",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "27868",
            "identifier": "27868",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.