Penelope Hatcher Moore, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

21899 Issued in SC

Practice address

601 Wilmington St
Beaufort, SC 29902-4956

Phone

(843) 525-5034

Fax

(843) 770-2075

NPI assigned

Mar 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1144646191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WILMINGTON ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024956",
            "telephone_number": "843-525-5034",
            "fax_number": "843-770-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WILMINGTON ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024956",
            "telephone_number": "843-525-5034",
            "fax_number": "843-770-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PENELOPE",
        "middle_name": "HATCHER",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "21899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlie Mohun, PT, DPT, ATC
• Frances Moody, MA
• John P Moon, DDS
• Moore Surgical and Women'S Healthcare Associates, PA
• Kendall Moore, PHD
• Mallorie D Morelock
• William Clayton Morgan Jr., DDS
• Raymond Gerard Morin, DMD
• Morningside of Beaufort, LLC
• Abigail Bailey Morris, RPH

• Licensed Practical Nurse in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.