Active NPI
Amanda Librizzi Muth, DNP
- Pediatric Nurse Practitioner
- Moncks Corner, SC
National Provider Identifier
1821865403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 27671
- Practice address
- 5000 Epson Plantation Dr
Moncks Corner, SC 29461-3979 - Phone
- (843) 761-2000
- NPI assigned
- Dec 5, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 27671 | SC | Primary |
Addresses
Primary practice location
5000 Epson Plantation Dr
Moncks Corner, SC 29461-3979
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DIRECT@DIRECT.MUSC.EDU | Health Information Exchange (HIE) |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27671 | SC | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Sweetgrass Pediatrics | Past | Accepting new patients |
Locations
5000 Epson Plantation Dr
Moncks Corner, SC 29461
Phone (843) 761-2000
5000 Epson Plantation Dr
Ste B
Moncks Corner, SC 29461
Phone (843) 754-4801
1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653
Interoperability endpoints
- direct@direct.musc.edu
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
- Pediatrics Physician
- Charleston, SC
- NPI 1003846783
-
- Pediatrics Physician
- North Charleston, SC
- NPI 1437168135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1821865403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 EPSON PLANTATION DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613979",
"telephone_number": "843-761-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTH",
"first_name": "AMANDA",
"middle_name": "LIBRIZZI",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "27671",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DIRECT@DIRECT.MUSC.EDU",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5000 Epson Plantation Dr",
"city": "Moncks Corner",
"state": "SC",
"country_code": "US",
"postal_code": "294613979",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.