Active NPI
Kendrea Robinson, APRN
- Family Nurse Practitioner
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22935
- Practice address
- 1053 Center St Ste 100
West Columbia, SC 29169-6749 - Phone
- (800) 491-0909
- NPI assigned
- Jun 17, 2019
- 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 | 22935 | SC | Primary |
Addresses
Primary practice location
1053 Center St Ste 100
West Columbia, SC 29169-6749
Mailing address
2142 Eaton Cir
Florence, SC 29501-6429
Phone (843) 245-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22935 | Other | SC | STATE BOARD LICENSE |
Other names 1
- Kendrea Moore
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Athena |
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1801 W Evans St
Suite 107
Florence, SC 29501-3801
Phone (888) 918-2415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Care Therapy and Psychology Clinic | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Rosalyn Cares Consulting LLC | Family | Current | Accepting new patients |
| SC House Calls Inc | Current | Accepting new patients | |
| Practical Purpose Solutions LLC | Current | Accepting new patients |
Locations
1624 Main St
Columbia, SC 29201
Phone (803) 454-0365
660 Senior Way
Florence, SC 29505
1801 W Evans St
Ste 107
Florence, SC 29501
Phone (888) 918-2415
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
1053 Center St
Ste 100
West Columbia, SC 29169
Organizations & group practices 5
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 Nurse Practitioner
- Florence, SC
- NPI 1427653799
-
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Community Health Nurse Practitioner
- Florence, SC
- NPI 1003585795
-
- Psychiatric/Mental Health Nurse Practitioner
- Florence, SC
- NPI 1619629375
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1861052425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 EATON CIR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016429",
"telephone_number": "843-245-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 CENTER ST STE 100",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291696749",
"telephone_number": "800-491-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "KENDREA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "22935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD LICENSE",
"identifier": "22935",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Athena",
"affiliation": "N",
"address_1": "1053 Center St Ste 100",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291696749",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KENDREA",
"last_name": "MOORE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.