| Kimberly S Crawford, APRN | |
| 
					1053 Center Street, Credentialing Department, West Columbia, SC 29169  | |
| (800) 491-0909 | |
| Not Available | 
| Full Name | Kimberly S Crawford | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1053 Center Street, West Columbia, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912477902 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 226098 (South Carolina) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 22486 (South Carolina) | Primary | 
| Entity Name | Sc House Calls Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821  | 
| Entity Name | Providence House Calls Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689912495 PECOS PAC ID: 1759528250 Enrollment ID: O20130430000366  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kimberly S Crawford, APRN 1053 Center Street, Credentialing Department, West Columbia, SC 29169 Ph: (800) 491-0909  | Kimberly S Crawford, APRN 1053 Center Street, Credentialing Department, West Columbia, SC 29169 Ph: (800) 491-0909  | 
Ashley Nix, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1612 Airport Blvd, West Columbia, SC 29169 Phone: 803-380-6399 Fax: 877-484-7187  | |
June Taylor Clark, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 Phone: 800-491-0909  | |
Sommer Lane Kitchin, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1053 Center St, West Columbia, SC 29169 Phone: 800-491-0909  | |
Teresa Biediger Bowers, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2728 Sunset Blvd, Suite 402, West Columbia, SC 29169 Phone: 803-794-7511 Fax: 803-794-7751  | |
Heather Shaw, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169 Phone: 803-699-9073 Fax: 866-527-0937  | |
Amy S Shenkar, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102  | |
Dr. Elizabeth M Mcmicken, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 Sunset Ct, West Columbia, SC 29169 Phone: 803-796-2222 Fax: 803-796-7839  |