Teresa Coleman Martin-Moses, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3694 Issued in SC

Practice address

2101 Dutch Fork Rd
Chapin, SC 29036-7576

Phone

(910) 742-9243

Fax

(888) 746-1787

NPI assigned

Nov 21, 2007

Last updated

Sep 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Teresa Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: teresa.martin-moses.1@14940.direct.athenahealth.com

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1437330297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538622",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303538622",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 DUTCH FORK RD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290367576",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-MOSES",
        "first_name": "TERESA",
        "middle_name": "COLEMAN",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "3694",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "3694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "MARTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Bennett Lominack, R.PH.
• Logan Louque, DDS
• Lutheran Homes of SC, Inc. (Lutheran Hospice)
• Mary Macdonald
• Sharon Younis Manning, PH.D.
• Terri Martin, RN
• Harshvir Singh Masson, MD
• Bobby Eugene McBride, D.D.S.
• Sarah McCallister, LPC
• Latia Kelly McDonald, M.ED., LPC

• Nurse Practitioner in Chapin, SC
• Providers in Chapin, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.