Individual provider Active NPI

Kristen Laemers, APRN

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1356147011
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30996 Issued in SC
Practice address
125 Doughty St Ste 200
Charleston, SC 29403-5747
Phone
(843) 577-6791
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30996 SC Primary

Addresses

Primary practice location

125 Doughty St Ste 200
Charleston, SC 29403-5747

Mailing address

125 Doughty St Ste 200
Charleston, SC 29403-5747
Phone (843) 577-6791

Other practice location 1

1300 Hospital Dr Ste 180
MT Pleasant, SC 29464-3243
Phone (843) 849-7443

Other practice location 2

1229 Nexton Pkwy
Summerville, SC 29486-2167
Phone (843) 577-6791

Other names 1

  • Kristen Moody Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113001254 SC Practitioner - Nurse Practitioner 9133605843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Pulmonary Associates PAGroup PAC ID 1759373079, 10 clinicians

Practice addresses (Care Compare)

125 Doughty St
Suite 200
Charleston, SC 29403-5727
Phone (843) 577-6791

Hospital & facility affiliations

  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30996SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Pulmonary Associates PA CurrentSince Dec 1, 2025 Accepting new patients

Locations

125 Doughty St
Ste 200
Charleston, SC 29403
Phone (843) 577-6791

1300 Hospital Dr
Ste 180
Mt Pleasant, SC 29464
Phone (843) 388-8388

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDFBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1356147011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST STE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035747",
            "telephone_number": "843-577-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST STE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035747",
            "telephone_number": "843-577-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Hospital Dr Ste 180",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294643243",
            "country_code": "US",
            "telephone_number": "843-849-7443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1229 Nexton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294862167",
            "country_code": "US",
            "telephone_number": "843-577-6791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAEMERS",
        "first_name": "KRISTEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MOODY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.