Shatori Moore, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Graniteville, SC
NPI 1609769181 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1609769181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 229566 (SC)
- Practice address
- 4012 Crimson Pass
Graniteville, SC 29829-3265 - Phone
- (803) 634-9224
- NPI assigned
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229566 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Am Cared for LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 229566 | SC | Yes |
Addresses
Primary practice location
4012 Crimson Pass
Graniteville, SC 29829-3265
Mailing address
4012 Crimson Pass
Graniteville, SC 29829-3265
Other providers in Graniteville, SC
- Love Legacy Care LLC
- Kayla McElmurray
- Jennifer Rebecca Messina
- Midland Valley Behavioral Health & Consulting, LLC
- Koshon Mitchell
- Alexa Myers
- Tyler Reed Myers
- Angela Odom
- Destiny Patten
- Doris Payne
All providers in Graniteville, SC · Registered Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.