Individual provider Active NPI

Kimberlee Kay Saunders, AGPCNP

  • Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1669236105
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28345 Issued in SC
Practice address
301 Halton Rd
Greenville, SC 29607-3496
Phone
(864) 962-6699
NPI assigned
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28345 SC Primary

Addresses

Primary practice location

301 Halton Rd
Greenville, SC 29607-3496

Mailing address

108 Taniere CT
Simpsonville, SC 29680-6146
Phone (269) 599-7270

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
I20240918002558 SC Practitioner - Nurse Practitioner 2264973213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Pruitthealth Hospice IncGroup PAC ID 2264344217, 42 clinicians

Practice addresses (Care Compare)

301 Halton Rd
Suite B
Greenville, SC 29607-3498
Phone (864) 962-6699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Hospice, Inc. Current Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Jun 22, 2024 Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Jun 22, 2024 Accepting new patients

Locations

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

2051 Elijah Ludd Rd
Ste 1
Florence, SC 29501
Phone (843) 573-8623

301 Halton Rd
Ste B
Greenville, SC 29607
Phone (864) 962-6699

Organizations & group practices 3

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1669236105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TANIERE CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806146",
            "telephone_number": "269-599-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073496",
            "telephone_number": "864-962-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "KIMBERLEE",
        "middle_name": "KAY",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "28345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.