Johnice Aeida Yvette Moore

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11953 Issued in SC

Practice address

226 McGee Rd
Anderson, SC 29625-2104

Phone

(864) 260-4168

NPI assigned

Jul 12, 2018

Last updated

Jul 12, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anderson Oconee Behavioral Health Services

  • Community/Behavioral Health Agency
  • Anderson, SC
  • NPI 1649278565
  NPD (past)

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1700362779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 STREAMS WAY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296255148",
            "telephone_number": "919-475-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MCGEE RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252104",
            "telephone_number": "864-260-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHNICE",
        "middle_name": "AEIDA YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "11953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Moody, PA-C
• Felice Pearl Moody, MD
• Robin L Moody, LPC
• Timothy W Moon, DO
• Caroline Jamison Moore, CCC-SLP
• Justin M Moore, MD
• Richard A Moore, D.M.D.
• Andrea Nicole Moorehead
• Elizabeth Morash, PHARM.D.
• Kaitlan Rose Morehouse, MMFT

• Social Worker in Anderson, SC
• Providers in Anderson, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.