Individual provider Active NPI

Kingslea Moore Dukes, N.P

  • Family Nurse Practitioner
  • Mt Pleasant, SC
National Provider Identifier
1629477757
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18874 Issued in SC
Practice address
724 S Shelmore Blvd Ste 100
Mt Pleasant, SC 29464-1602
Phone
(843) 936-2036
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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 18874 SC Primary

Addresses

Primary practice location

724 S Shelmore Blvd Ste 100
Mt Pleasant, SC 29464-1602

Mailing address

724 S Shelmore Blvd Ste 100
Mt Pleasant, SC 29464-1602
Phone (843) 936-2036

Other names 1

  • Dr. Margaret Kingslea Moore Former name

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18874SCMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1629477757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S SHELMORE BLVD STE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294641602",
            "telephone_number": "843-936-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S SHELMORE BLVD STE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294641602",
            "telephone_number": "843-936-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "KINGSLEA",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "MOORE",
            "middle_name": "KINGSLEA",
            "prefix": "DR.",
            "credential": "N.P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.