| Ms Kimberly Brentlinger Fanguy, FNP-C | |
| 
					146 E Hospital Dr Ste 140, West Columbia, SC 29169-4800  | |
| (803) 936-7076 | |
| (803) 936-7925 | 
| Full Name | Ms Kimberly Brentlinger Fanguy | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Adult Health | 
| Location | 146 E Hospital Dr Ste 140, 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 | 
|---|---|---|---|
| 1750828398 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20513 (South Carolina) | Secondary | 
| 363LA2200X | Nurse Practitioner - Adult Health | 20513 (South Carolina) | Primary | 
| Entity Name | Unified Family Health Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568001642 PECOS PAC ID: 1759712573 Enrollment ID: O20200512001286  | 
| Entity Name | Lexington Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Kimberly Brentlinger Fanguy, FNP-C 1032a Kinley Rd, Irmo, SC 29063-9632 Ph: (803) 612-0830  | Ms Kimberly Brentlinger Fanguy, FNP-C 146 E Hospital Dr Ste 140, West Columbia, SC 29169-4800 Ph: (803) 936-7076  | 
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  |