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

Mrs. Keionda Crumblin Caldwell, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1487185484

Mrs. Keionda Crumblin Caldwell, NURSEPRACTITIONER is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2016, 10 years ago. Practices with Eau Claire Cooperative Health Center, Inc, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2017
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Practice location Address checks out

4605 Monticello Rd Ste 2
Columbia, SC 29203-4156
Phone: (803) 753-5590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2220 N Beltline Blvd, Columbia, SC 29204-3907 — (839) 600-9101

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20857 (SC)

Record details

NPI number1487185484
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 22, 2017
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Eau Claire Cooperative Health Center, Inc. — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia