Active NPI
Latoya Moore
- Registered Nurse
- Columbia, SC
National Provider Identifier
1033823935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 246651
- Practice address
- 2000 Hampton St
Columbia, SC 29204-1002 - Phone
- (803) 922-5755
- NPI assigned
- Jan 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 246651 | SC | Primary |
Addresses
Primary practice location
2000 Hampton St
Columbia, SC 29204-1002
Mailing address
28 Aberdeen Way
Elgin, SC 29045-8321
Phone (910) 733-3785
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | moorel@dhec.sc.gov |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246651 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1033823935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 ABERDEEN WAY",
"city": "ELGIN",
"state": "SC",
"postal_code": "290458321",
"telephone_number": "910-733-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HAMPTON ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292041002",
"telephone_number": "803-922-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LATOYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "246651",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "moorel@dhec.sc.gov",
"affiliation": "N",
"address_1": "2000 Hampton St",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292041002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.