Active NPI
Karen Adams Moody, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, SC
National Provider Identifier
1295938801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1999
- Practice address
- 1330 Taylor Street
Columbia, SC 29220-0001 - Phone
- (803) 296-5010
- Fax
- (803) 268-9680
- NPI assigned
- Jun 10, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1999 | SC | Primary |
Addresses
Primary practice location
1330 Taylor Street
Columbia, SC 29220-0001
Mailing address
411 Club Acres Blvd
Orangeburg, SC 29118-4117
Phone (803) 268-9680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1255 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1999 | SC | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1295938801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 CLUB ACRES BLVD",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291184117",
"telephone_number": "803-268-9680",
"fax_number": "803-268-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 TAYLOR STREET",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292200001",
"telephone_number": "803-296-5010",
"fax_number": "803-268-9680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "KAREN",
"middle_name": "ADAMS",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-10",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "1999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1255",
"state": "SC"
}
],
"endpoints": [],
"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 Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.