Individual provider Active NPI

Kaitlin Ashley Hall

  • Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1952290025
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
30608 Issued in SC
Practice address
111 Lovett Dr
Greenville, SC 29607-6510
Phone
(801) 869-4100
NPI assigned
Jul 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 30608 SC Primary

Addresses

Primary practice location

111 Lovett Dr
Greenville, SC 29607-6510

Mailing address

111 Lovett Dr
Greenville, SC 29607-6510
Phone (801) 869-4100

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
I20250916000870 SC Practitioner - Nurse Practitioner 4880198753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Welscare of South Carolina, LLCGroup PAC ID 1052774957, 9 clinicians

Practice addresses (Care Compare)

111 Lovett Dr
Greenville, SC 29607-6510
Phone (801) 869-4100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Welscare of South Carolina, LLC Nurse Practitioner CurrentSince Jul 8, 2025 Accepting new patients

Locations

111 Lovett Dr
Greenville, SC 29607
Phone (864) 234-1150

1250 E 3900 S
Ste 440
Slc, UT 84124
Phone (801) 261-2232

Organizations & group practices 1

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": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1952290025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LOVETT DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076510",
            "telephone_number": "801-869-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LOVETT DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076510",
            "telephone_number": "801-869-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KAITLIN",
        "middle_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "30608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.