Active NPI
Kristen Brown Purdy, RN
- Community Health Registered Nurse
- Iva, SC
National Provider Identifier
1992306963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 236607
- Practice address
- 121B Mullberry LN
Iva, SC 29655-8783 - Phone
- (864) 314-2601
- NPI assigned
- Nov 5, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 236607 | SC | |
| Community Health Registered Nurse | 163WC1500X | 236607 | SC | Primary |
Addresses
Primary practice location
121B Mullberry LN
Iva, SC 29655-8783
Mailing address
121B Mullberry LN
Iva, SC 29655-8783
Phone (864) 314-2601
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PURDYKB@DHEC.SC.GOV | Direct |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236607 | SC | MD | Case Management Registered Nurse |
Interoperability endpoints
- purdykb@dhec.sc.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1992306963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121B MULLBERRY LN",
"city": "IVA",
"state": "SC",
"postal_code": "296558783",
"telephone_number": "864-314-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121B MULLBERRY LN",
"city": "IVA",
"state": "SC",
"postal_code": "296558783",
"telephone_number": "864-314-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "KRISTEN",
"middle_name": "BROWN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "SC",
"license": "236607",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "236607",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "PURDYKB@DHEC.SC.GOV",
"affiliation": "N",
"endpointDescription": "EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "121B Mullberry Ln",
"city": "Iva",
"state": "SC",
"country_code": "US",
"postal_code": "296558783",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Iva, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.