Katherine Lee Ambrose
Individual provider Active NPI Family Nurse Practitioner · Clemson, SC
NPI 1366040693 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1366040693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 30594 (SC)
- Practice address
- 101 Chapman Hill Rd Ste 201
Clemson, SC 29631-2194 - Phone
- (864) 653-4071
- Fax
- (864) 653-4074
- NPI assigned
- Oct 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 47
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
101 Chapman Hill Rd
Suite 201
Clemson, SC 29631-2194
Phone (864) 653-4071
Hospital & facility affiliations
- Prisma Health Oconee Memorial Hospital
- Prisma Health Greenville Memorial Hospital
- Prisma Health Baptist Easley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250806000053 | SC | Practitioner - Nurse Practitioner | 6709394158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234988 | SC | MD | Public Health & General Preventive Medicine Physician |
| 30594 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| State of South Carolina | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients |
Locations
101 Chapman Hill Rd
Ste 201
Clemson, SC 29631
Phone (864) 653-4071
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
200 McDaniel Ave
Pickens, SC 29671
Phone (864) 898-5839
Interoperability endpoints
- kambrose721478@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 234988 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | 30594 | SC | Yes |
Addresses
Primary practice location
101 Chapman Hill Rd Ste 201
Clemson, SC 29631-2194
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697
Other practice location 1
200 McDaniel Ave
Pickens, SC 29671-2527
Phone (864) 898-5965
Other providers in Clemson, SC
- Abigail Akpobiyeri
- Brandon John Albin
- Jonathan Michael Alexander
- Sarah McCormick Allen
- Ignacio Lorenzo Almada Perez
- Jacob Cagney Amerson
- Anchor of Hope Counseling of Clemson, PA
- Anderson Diagnostic Imaging, Inc
- Carrie S Anderson
- Channing Nathaniel Anderson
All providers in Clemson, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.