MS. KIMBERLY SPIRES FNP-C NPI 1194278879

NPI Information

  • NPI: 1194278879
  • Provider Name: MS. KIMBERLY SPIRES, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 130 BAKER STREET
    BLACKVILLE, SC
    ZIP 29817
  • Phone: (803) 284-1045

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NPI Details

MS. Kimberly Spires, FNP-C is a family nurse practitioner in Blackville, SC with 9 years of experience. MS. Kimberly Spires, FNP-C NPI is 1194278879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 BAKER STREET
BLACKVILLE, SC
ZIP 29817-304
Phone: (803) 284-1045
Fax: (803) 284-3094

The NPI 1194278879 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2016 and was last updated on 1/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily20284SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SC9073OTHERSOUTH CAROLINAMEDICARE
2NP4088MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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