Individual provider Active NPI

Kathryn Miller Loveland, NP

  • Pediatric Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1508013624
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
22868 Issued in SC
Practice address
201 E Broad St
Spartanburg, SC 29306-3233
Phone
(864) 707-2135
Fax
(864) 707-2136
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024096329 VA
Pediatric Nurse Practitioner 363LP0200X SP016439 PA
Pediatric Nurse Practitioner 363LP0200X 22868 SC Primary

Addresses

Primary practice location

201 E Broad St
Spartanburg, SC 29306-3233

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6308

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
I20190909001696 SC Practitioner - Nurse Practitioner 7012183601 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP016439PAMDPediatric Nurse Practitioner
22868SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Dec 22, 2020 Accepting new patients
Prisma Health University Medical Group CurrentSince Jul 8, 2019 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Dec 22, 2020 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Dec 22, 2020 Accepting new patients
Prisma Health University Medical Group CurrentSince Jul 8, 2019 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Oct 11, 2022 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

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

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

201 E Broad St
Spartanburg, SC 29306
Phone (864) 707-2135

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

115 Thomas St
#B
Union, SC 29379

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1508013624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E BROAD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063233",
            "telephone_number": "864-707-2135",
            "fax_number": "864-707-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELAND",
        "first_name": "KATHRYN",
        "middle_name": "MILLER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024096329",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP016439",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "22868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.