Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn Elizabeth Kerley-Heneidi, FNP

Individual provider Family Nurse Practitioner · NPI 1639647241

Kathryn Elizabeth Kerley-Heneidi, FNP is a Nurse Practitioner in Charleston, South Carolina. Qualified in 2018, 8 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and South Carolina.

Years since qualifying
8
Licensed in
CA, SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-7907
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22564 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95010376 (CA)

Record details

NPI number1639647241
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 13, 2018
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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