MRS. KIMBERLY THOMAS GAUGHAN BSN
NPI 1194355701
Registered Nurse in Myrtle Beach, SC

Q: What is Kimberly Gaughan's NPI number?

The NPI number for Kimberly Gaughan is 1194355701. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Q: What is Kimberly Gaughan's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Gaughan was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2020

700 21ST AVE N, MYRTLE BEACH, SC 29577(843) 409-5287 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kimberly Thomas Gaughan Bsn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY THOMAS GAUGHAN BSN (NPI 1194355701) is an individual registered nurse in Myrtle Beach, South Carolina, licensed in South Carolina (39545) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1194355701

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMRS. KIMBERLY THOMAS GAUGHANCredential: BSN

Location Address700 21ST AVE NMyrtle Beach, SC 29577-7400

Mailing Address2203 Woodlawn DrConway, SC 29526-7707 · (843) 409-5287

Phone(843) 409-5287

Sole ProprietorYes

Enumeration DateJanuary 22, 2020

✔ NPI 1194355701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in SC · 39545

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

700 21ST AVE N, Myrtle Beach, SC 29577

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMERON MCCALLUM MISHOE RN

Registered Nurse