ADDIE MOULTRIE (NPI# 1265838486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265838486 |
| Entity Type | Individual |
| Full Name | ADDIE MOULTRIE |
| Practice Address |
301 Palmetto Park Blvd Lexington SC 29072-7872 |
| Mailing Address |
1018 Pine St Cayce SC 29033-3408 |
| Practice Telephone | 8039961500 |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2014-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 49640 | SC | Nursing Service Providers |
| Street Address |
301 PALMETTO PARK BLVD |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-7872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952460982 | Linda Lee Berry | Counselor | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2006-12-06 |
| 1962059246 | Jo-ana Helen Hammond | Counselor | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2019-08-21 |
| 1619522919 | Lauren Benton | Counselor | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2019-08-05 |
| 1457903361 | Tomeker Reshell Williams-heard | Counselor | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2019-07-10 |
| 1962940247 | Virginia Connor De Jesus | Registered Nurse | 301 Palmetto Park Blvd, Lexington, SC 29072 | 2017-02-07 |
| 1376092536 | Isabell Katherine Willis-faust | Social Worker | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2016-09-29 |
| 1295188951 | Prudence Faith Wilson | Social Worker | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2016-07-18 |
| 1831540871 | Audrey Mallard | Counselor | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2016-06-30 |
| 1518317361 | Christopher Barker | Counselor | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2016-06-13 |
| 1801245113 | Laura Edwards | Counselor | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2016-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609425446 | Angela M Eisaman | Registered Nurse | 2308 Kings Corners Rd E, Lexington, OH 44904-9720 | 2019-09-04 |
| 1063983229 | Mumtaz Jiwani | Registered Nurse | 324 Siddington Way, Lexington, SC 29073-9722 | 2018-12-16 |
| 1316417272 | Stephanie Lee | Registered Nurse | 8 Grey Oaks Cir, Lexington, MA 02421-7528 | 2018-12-04 |
| 1477056281 | Jordan Andrew Coleman | Registered Nurse | 130 May Morning Dr, Lexington, SC 29073-9440 | 2018-03-18 |
| 1831627512 | Sharon Clark | Registered Nurse | 33 Wren Ln, Lexington, VA 24450-5831 | 2017-05-25 |
| 1770020091 | Dustin Morris | Registered Nurse | 300 Caughman Farm Ln Apt 311, Lexington, SC 29072-6867 | 2017-01-24 |
| 1679015408 | Katrina Cooper | Registered Nurse | 501 Gibson Forest Dr, Lexington, SC 29072-3482 | 2016-11-10 |
| 1750838595 | Candy Lane | Registered Nurse | 11 Mentelle Park, Lexington, KY 40502-1511 | 2016-09-09 |
| 1013460104 | Beverly A Martin-davis | Registered Nurse | 301 Palmetto Pk Blvd, Lexington, SC 29072-7872 | 2016-07-26 |
| 1376902551 | Kimberly Hare | Registered Nurse | 142 Greenbank Dr, Lexington, SC 29073-9750 | 2016-02-17 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.