Katheirne North Moore

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

205981 Issued in SC

Practice address

5103 Princeton St
North Charleston, SC 29405-4152

Phone

(843) 338-5554

NPI assigned

Oct 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1174240303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 MARKET ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025404",
            "telephone_number": "800-504-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 PRINCETON ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054152",
            "telephone_number": "843-338-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATHEIRNE",
        "middle_name": "NORTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "205981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AthenaNet",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Health Record",
            "address_1": "1390 Market St Ste 200",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941025404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mobility Plus LLC
• Margaret Ann Mohrmann, RN, BSN
• David Anthony Monti III
• Christie L Moody, DMD
• Lara Wear Moody, M.D.
• Summer Christine Moore, DO
• Kelly Nicole Morales, MD
• Anna Leah Moranski
• Pamela Morin, RN
• Lora Morris, MSR, SLP

• Addiction (Substance Use Disorder) Registered Nurse in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Addiction (Substance Use Disorder) Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.