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

Traci Kennedy, NP

Individual provider Emergency Registered Nurse · NPI 1306206990

Traci Kennedy, NP is a Nurse Practitioner in Charleston, South Carolina. Qualified in 2016, 10 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and South Carolina.

Years since qualifying
10
Licensed in
IN, SC
In the registry since
2016
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-3208
Phone: (843) 792-1414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 Hospital Dr Ste 220, Mount Pleasant, SC 29464-3208 — (843) 936-6238

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 21498 (SC)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 28091733A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71006563A (IN)

Record details

NPI number1306206990
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 25, 2016
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing addressPo Box 751461, Charlotte, NC 28275-1461

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 University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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