Kathleen Reilly, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.30210 Issued in SC

Practice address

148 Line St Ste D
Charleston, SC 29403-5576

Phone

(843) 718-1026

NPI assigned

Apr 4, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1992509194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEETING ST APT 5007",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 LINE ST STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035576",
            "telephone_number": "843-718-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "KATHLEEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.30210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Reid, PH.D.
• Kristoff Rewi Reid, M.D.
• Rachel Elizabeth Reid
• Erik Lawrence Reidel, MD
• Philip Reiheld, OD
• Kelsey Reilly
• Margaret Olivia Reilly, MD
• Sydney Marie Reinert, BA, MS, LPC
• Christian Reinholz, MD
• Charles Alan Reitman, MD

• Family Nurse Practitioner in Charleston, SC
• Providers in Charleston, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.