Active NPI
Ann Trapp
- Family Nurse Practitioner
- Moore, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25965
- Practice address
- 5895 Reidville Rd
Moore, SC 29369-8409 - Phone
- (864) 486-6990
- NPI assigned
- Apr 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 28096473A | IN | |
| Family Nurse Practitioner | 363LF0000X | 25965 | SC | Primary |
| Nurse Practitioner | 363L00000X | 95012419 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95012419 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP95012419 | CA |
Addresses
Primary practice location
5895 Reidville Rd
Moore, SC 29369-8409
Mailing address
5895 Reidville Rd
Moore, SC 29369-8409
Phone (864) 486-6990
Other practice location 1
1515 E Main St
Duncan, SC 29334-9218
Phone (864) 984-0773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201190350 | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 E Main St
Duncan, SC 29334-9218
Phone (843) 984-0773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95012419 | CA | MD | Family Nurse Practitioner |
| 28096473A | IN | MD | Gerontology Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Urgent Care of South Carolina, PC | Current | Accepting new patients |
Locations
1515 E Main St
Duncan, SC 29334
Phone (843) 984-0773
1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609
1501 Wo Ezell Blvd
Spartanburg, SC 29301
Phone (864) 719-4220
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- atrapp751609@direct.ghs.myhfn.org
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.
-
- Urgent Care Clinic/Center
- Greenville, SC
- NPI 1851000855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1679864243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5895 REIDVILLE RD",
"city": "MOORE",
"state": "SC",
"postal_code": "293698409",
"telephone_number": "864-486-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5895 REIDVILLE RD",
"city": "MOORE",
"state": "SC",
"postal_code": "293698409",
"telephone_number": "864-486-6990"
}
],
"practiceLocations": [
{
"address_1": "1515 E Main St",
"address_purpose": "LOCATION",
"city": "Duncan",
"state": "SC",
"postal_code": "293349218",
"country_code": "US",
"telephone_number": "864-984-0773",
"fax_number": "864-984-0783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAPP",
"first_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-29",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "IN",
"license": "28096473A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "25965",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95012419",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95012419",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95012419",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201190350",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moore, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.