Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Lee Ambrose

Individual provider Public Health & General Preventive Medicine Physician · NPI 1366040693

Katherine Lee Ambrose is a Nurse Practitioner in Clemson, South Carolina. Qualified in 2025, 1 year ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
1
Licensed in
SC
In the registry since
2020
Specialties on file
3

Practice location Address checks out

101 Chapman Hill Rd Ste 201
Clemson, SC 29631-2194
Phone: (864) 653-4071
Fax: (864) 653-4074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 McDaniel Ave, Pickens, SC 29671-2527 — (864) 898-5965

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 30594 (SC)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence 234988 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366040693
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2020
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount