Active NPI
Kimberlee Kay Saunders, AGPCNP
- Nurse Practitioner
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 28345
- Practice address
- 301 Halton Rd
Greenville, SC 29607-3496 - Phone
- (864) 962-6699
- NPI assigned
- Feb 6, 2024
- Last updated
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pruitthealth Hospice, Inc. | Current | Accepting new patients | |
| Pruitthealth Hospice, Inc. | Current | Accepting new patients | |
| Pruitthealth Hospice, Inc. | Current | 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.
-
dba PruittHealth Hospice - Anderson
- Community Based Hospice Care Agency
- Anderson, SC
- NPI 1174878342
-
dba PruittHealth Hospice - Simpsonville
- Community Based Hospice Care Agency
- Simpsonville, SC
- NPI 1184860306
-
dba PruittHealth Hospice - Eastern Carolina
- Community Based Hospice Care Agency
- Greenville, NC
- NPI 1992744361
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.