Alyson Mooneyhan Clisby, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

218093 Issued in SC

Practice address

6 Medical Park Rd
Columbia, SC 29203

Phone

(803) 434-5050

NPI assigned

Feb 24, 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

Other names 1

• Alyson Alayne Mooneyhan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1487300794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 ORANGE GROVE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLISBY",
        "first_name": "ALYSON",
        "middle_name": "MOONEYHAN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "218093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "MOONEYHAN",
            "middle_name": "ALAYNE",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian P Cline, MD
• Casey Cline, MS, LPC, LCAT, ATR-B
• Candace Clinton, MD
• Christina Clinton
• John Thomas Clinton, LISW-CP
• Marjorie G Cloninger, PHD
• Rebekah Gracce Cloninger, MA, LPC, NCC, CCTP
• Timothy P Close, MD
• Brooke Clover
• Cynthia Lynn Clubb-Charles, OTR/L

• All providers in Columbia, SC
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.