ALLISON STOUGHTON MOORE NP-C NPI 1013369453

NPI Information

NPI: 1013369453
Provider Name: ALLISON STOUGHTON MOORE, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.

PECOS Registration: Yes

Address:
1228 HARDEN ST
COLUMBIA, SC
ZIP 29204
Phone: (803) 744-0540
Get Directions

Allison Stoughton Moore, NP-C is a family nurse practitioner in Columbia, SC with 8 years of experience. Allison Stoughton Moore, NP-C NPI is 1013369453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1228 HARDEN ST
COLUMBIA, SC
ZIP 29204-800
Phone: (803) 744-0540
Fax: (803) 744-0550

The NPI 1013369453 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2016 and was last updated on 1/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	20293	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4139	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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