Individual provider Active NPI

Katherine Coindreau

  • Family Nurse Practitioner
  • Union, SC
National Provider Identifier
1366249989
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30063 Issued in SC
Practice address
115 Thomas St
Union, SC 29379-2147
Phone
(864) 582-2411
NPI assigned
Mar 1, 2025
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30063 SC Primary

Addresses

Primary practice location

115 Thomas St
Union, SC 29379-2147

Mailing address

115 Thomas St
Union, SC 29379-2147
Phone (864) 582-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118003155 SC Practitioner - Nurse Practitioner 1557852480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

750 S Church St
Spartanburg, SC 29306-5348
Phone (864) 582-2411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30063SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Aug 21, 2025 Accepting new patients
Regenesis Organization Community Health Center Family Medicine CurrentSince Aug 21, 2025 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients

Locations

1663 E Main St
Duncan, SC 29334
Phone (846) 416-7933

1341 N Limestone St
Gaffney, SC 29340
Phone (864) 489-3300

200 College St
Spartanburg, SC 29303

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

945 E Main St
Spartanburg, SC 29302
Phone (864) 383-9002

115 Thomas St
Union, SC 29379
Phone (864) 429-1690

220 Irby St
Woodruff, SC 29388
Phone (864) 476-2731

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1366249989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 THOMAS ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792147",
            "telephone_number": "864-582-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 THOMAS ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792147",
            "telephone_number": "864-582-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COINDREAU",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

Verify at the official NPI Registry.