Kimbi Glenn Marenakos · NPI #1073031902

Address: 235 Calhoun St, Charleston, SC 29401-1306, US
Telephone: 8434420006
Kimbi Glenn Marenakos (NPI# 1073031902) is a health care provider registered with . The enumeration date is August 30, 2017.

Overview

Kimbi Glenn Marenakos is a health care provider registered with . The National Provider Identifier (NPI) is #1073031902. The practice address is 235 Calhoun St, Charleston, SC 29401-1306, US. Published on August 30, 2017. Last updated on November 25, 2020.

Provider Information

NPI 1073031902
Entity Type Individual
Provider Name DR. KIMBI GLENN MARENAKOS
Gender Female
Credential FNP-C
Mailing Address Po Box 751461
Charlotte
NC 28275-1461
US
Mailing Telephone 8437926200
Practice Address 235 Calhoun St
Charleston
SC 29401-1306
US
Practice Telephone 8434420006
Certification Date 2020-11-25
Enumeration Date 2017-08-30
Last Update Date 2020-11-25
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 2961747019
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Professional Enrollment ID I20181219000029
Full Name KIMBI GLENN MARENAKOS
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Primary Specialty NURSE PRACTITIONER
Organization Legal Name UNIVERSITY MEDICAL ASSOCIATES
Address 171 Ashley Ave
Charleston
SC 29425-8908

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense Number
N101Y00000XCounselor4764 (SC)
Y363LF0000XNurse PractitionerFamily21265 (SC)

Secondary Practice Locations

AddressTelephoneFax
35 Walnut St, Charleston, SC 294034514, US8434420006
35 Walnut St, Charleston, SC 294034514, US8434420006 ext.

Taxonomy Information

Primary Taxonomy

Code 363LF0000X
Taxonomy Family Nurse Practitioner
Classification Nurse Practitioner
Specialization Family
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 363LF0000X
Taxonomy Family Nurse Practitioner
Classification Nurse Practitioner
Specialization Family
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

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Location Information

Street Address 235 CALHOUN ST
City CHARLESTON
State SC
Zip Code 29401-1306
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Robin Mattiello Miasek 235 Calhoun St, Torrington, CT 06790-3709Clinical Social Worker2013-05-30
David Lawrence Albenberg 235 Calhoun St, Charleston, SC 29401-1306Family Medicine Physician2006-08-09
Christina Sweatman 235 Calhoun St, Charleston, SC 29401-1306Family Nurse Practitioner2017-05-01
Sarah Marie Ferrese 235 Calhoun St, Charleston, SC 29401-1306Physician Assistant2013-05-21

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Southeastern Facial Plastic Cosmetic Surgery Center, P.a. 247 Calhoun St, Charleston, SC 29401-1306Ambulatory Surgical Clinic/Center2008-02-15
Floyd Brace Company, Inc. 243 Calhoun St, Charleston, SC 29401-1306Prosthetic/Orthotic Supplier2005-09-30
Dana Heikes 247 Calhoun St, Charleston, SC 29401-1306Specialist2006-07-07
Louis Costa II 247 Calhoun St, Charleston, SC 29401-1306Specialist2006-04-27

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Elisa Caroline Glover 10 Mcclennan Banks Dr, Charleston, SC 29401-1164Primary Care Nurse Practitioner2022-08-19
Drew Alan O'Connell 65 Gadsden St, Charleston, SC 29401-1145Addiction (Substance Use Disorder) Counselor2022-07-29
Brock Johndro 59 George St, Charleston, SC 29401-1422Pharmacist2022-07-14
Allyson Lacey Maguire 65 Gadsden Street, Charleston, SC 29401Professional Counselor2022-06-24
Maya Jenai Washington 5 Cromwell Aly Apt A, Charleston, SC 29401-1974Home Health Agency2022-07-27
Palmetto Primary Care Physicians, LLC · Ppcp Canterbury House 165 Market St, Charleston, SC 29401-1956Family Medicine Physician2022-09-08
Jennette Albayalde 109 Bee St, Charleston, SC 29401-5703Emergency Registered Nurse2022-09-08
Bryan Quinn 109 Bee St, Charleston, SC 29401-5703Pharmacist2022-08-01
Emily Lorraine Overly 109 Bee St, Charleston, SC 29401-5703Pharmacist2022-07-13
Megan Nicole Murphy Jones 10 Mcclennan Banks Dr # 915, Charleston, SC 29401-1164Pediatrics Physician2022-06-16
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov