DR. TAMARA KYLE MOORE DNP NPI 1467973768

NPI Information

  • NPI: 1467973768
  • Provider Name: DR. TAMARA KYLE MOORE, DNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 PORTS AUTHORITY DR
    MOUNT PLEASANT, SC
    ZIP 29464
  • Phone: (843) 792-1414

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NPI Details

DR. Tamara Kyle Moore, DNP is an adult health nurse practitioner in Mount Pleasant, SC. DR. Tamara Kyle Moore, DNP NPI is 1467973768. 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:

200 PORTS AUTHORITY DR
MOUNT PLEASANT, SC
ZIP 29464-998
Phone: (843) 792-1414

The NPI 1467973768 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 6/28/2017 and was last updated on 12/20/2019.

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
1363LA2200XNurse PractitionerAdult Health21089SOUTH CAROLINAYes

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: 3/30/2025

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