Kathie Diane Elmore, NP

Primary specialty

Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X

License

4212 Issued in SC

Practice address

601 Sulphur Springs Rd
Greenville, SC 29617-1621

Phone

(800) 375-5495

Fax

(800) 564-5952

NPI assigned

Jan 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathie Diane Lafollette Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1598069445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WOODVIEW CT",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SULPHUR SPRINGS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171621",
            "telephone_number": "800-375-5495",
            "fax_number": "800-564-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "KATHIE",
        "middle_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APN.4212",
            "primary": false
        },
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "SC",
            "license": "4212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHIE",
            "last_name": "LAFOLLETTE",
            "middle_name": "DIANE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Miranda Ellis
• William Ellis, MD
• Shawn Gray Ellison, PHYSICAL THERAPIST
• Katherine Laura Ellsworth
• Donald Keith Elmore, DC
• Daisy Stewart Elmquist, NNP
• Sara Kathleen Sky Elrod
• Brooke E Elsea, BCBA
• Mohamed Mustafa Elsunni, M.D.
• Neveen Emara, DO

• Obstetrics & Gynecology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.