Active NPI
Kathleen M Moser, FNP
- Family Nurse Practitioner
- Columbia, SC
National Provider Identifier
1841265824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN1369
- Practice address
- 1228 Harden St
Columbia, SC 29204-1800 - Phone
- (803) 733-5969
- Fax
- (803) 748-9953
- NPI assigned
- Feb 22, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN1369 | SC | Primary |
Addresses
Primary practice location
1228 Harden St
Columbia, SC 29204-1800
Mailing address
1228 Harden St
Columbia, SC 29204-1800
Phone (803) 733-5969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0501 | Medicaid | SC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN1369 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eau Claire Cooperative Health Center, Inc | Past | Accepting new patients | |
| Eau Claire Cooperative Health Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10781/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
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- Winnsboro, SC
- NPI 1003113168
-
- General Practice Dentistry
- Columbia, SC
- NPI 1457740789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1841265824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 HARDEN ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292041800",
"telephone_number": "803-733-5969",
"fax_number": "803-748-9953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 HARDEN ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292041800",
"telephone_number": "803-733-5969",
"fax_number": "803-748-9953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN1369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0501",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.