Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kacie Nicole Tyner, FNP-C

Individual provider Family Nurse Practitioner · NPI 1528781127

Kacie Nicole Tyner, FNP-C is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2022, 4 years ago. Practices with Anderson ENT PA, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Licensed in
SC
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

701 Grove Rd
Greenville, SC 29605-4210
Phone: (864) 455-5648
Fax: (864) 455-7862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 876 W Faris Rd, Greenville, SC 29605-4253 — (864) 455-8929

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26419 (SC)

Record details

NPI number1528781127
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2022
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Anderson Ent Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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