Vanessa Ashley Kinney, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Olanta, SC
NPI 1992356232 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1992356232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 22990 (SC)
- Practice address
- 211 S Jones Rd
Olanta, SC 29114-9705 - Phone
- (843) 396-9730
- Fax
- (843) 396-9735
- NPI assigned
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201116001445 | SC | Practitioner - Nurse Practitioner | 5991116311 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22990 | SC | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22990 | SC | Yes |
Addresses
Primary practice location
211 S Jones Rd
Olanta, SC 29114-9705
Mailing address
8906 Two Notch Rd
Columbia, SC 29223-6366
Phone (803) 254-3676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP7213 | Medicaid | SC |
Other names
- Vanessa Ashley Baggett
Other providers in Olanta, SC
- Dixie M Floyd
- Genesis Healthcare, Inc
- Genesis Healthcare, Inc.
- Marcella Holmes
- Shankana Johnson
- Lower Florence County Hospital
- Karen McFadden
- Sherrlyn McFadden
- Olanta Pharmacy
- Jolene Osorio
All providers in Olanta, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.