MRS. KATHY GRAY MOOCK (NPI# 1073958971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073958971 |
| Entity Type | Individual |
| Full Name | MRS. KATHY GRAY MOOCK |
| Credential | R.N. |
| Practice Address |
1518 Main Rd St John's High School Johns Island SC 29455-3437 |
| Practice Telephone | 8435596400 |
| Practice Fax Number | 8435596207 |
| Mailing Telephone | 8435596400 |
| Mailing Fax Number | 8435596207 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
24570 | SC | Nursing Service Providers |
| Street Address |
1518 MAIN RD ST JOHN'S HIGH SCHOOL |
| City | JOHNS ISLAND |
| State | SC |
| Zip Code | 29455-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216863 | Live for Wellness Johns Island | Chiropractor | 1803 Crowne Commons Way, Suite 1-a, Johns Island, SC 29455 | 2019-10-09 |
| 1588180186 | Ashley Nicole Cox | Specialist/Technologist | 24 Surfsong Rd, Johns Island, SC 29455 | 2017-08-16 |
| 1568820173 | Bernard Mansheim | Internal Medicine | 3226 Maybank Highway Ste 1a, Johns Island, SC 29455 | 2016-02-10 |
| 1932527843 | Gordon Theodore Davis | General Practice | 3226 Maybank Highway Suite 1-a, Barrier Islands Free Medical Clinics, Johns Island, SC 29455 | 2014-03-29 |
| 1568749596 | Dawn Lachelle Sykes | Chiropractor | 3029 Maybank Highway, Suite 1, Johns Island, SC 29455 | 2011-11-04 |
| 1265765994 | Raymond David Mulligan | Psychologist | 431 Snowy Egret Lane, Kiawah Island, SC 29455 | 2009-09-14 |
| 1912172636 | Nicole Marie Juntz | Chiropractor | 3069 Maybank Hwy, Johns Island, SC 29455 | 2008-04-23 |
| 1972701803 | Village Optical LLC | Optometrist | 634 Freshfields Drive, Johns Island, SC 29455 | 2007-07-03 |
| 1902982945 | John Patrick Howard | Dentist | 1684 Brownswood Rd., Our Lady of Mercy Outreach, Johns Island, SC 29455 | 2006-10-31 |
| 1265515795 | Vincents Drug Store and Soda Fountain | Pharmacy | 110 Planted Row Lane, Johns Island, SC 29455 | 2006-10-20 |
| Find all providers in zip 29455 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831536416 | Abbi Lake Beckford | Registered Nurse | 3464 River Rd, Johns Island, SC 29455-8820 | 2013-05-23 |
| 1558706341 | Lynda Mary Higgins | Registered Nurse | 6134 Chisolm Rd, Johns Island, SC 29455-7657 | 2013-05-07 |
| 1497190292 | Mary Howard | Registered Nurse | 1861 Bohicket Rd, Johns Island, SC 29455-3303 | 2013-05-07 |
| 1881228963 | Renee Chmura | Registered Nurse | 1861 Bohicket Rd, Johns Island, SC 29455-3303 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841400 | Tiffany Holcombe Price | Registered Nurse | 160 Ivory Key Rd, Saluda, SC 29138-8177 | 2020-11-05 |
| 1437759222 | Amy P Etheridge | Registered Nurse | 3650 Park Avenue Blvd, Mount Pleasant, SC 29466-7242 | 2020-10-29 |
| 1679187421 | Natalie Padgett | Registered Nurse | 1025 Sea Island Pkwy, Saint Helena Island, SC 29920-4399 | 2020-08-31 |
| 1316573678 | Amanda Kalinsky | Registered Nurse | 3100 Carner Ave, North Charleston, SC 29405-3001 | 2020-03-19 |
| 1396395588 | Elizabeth Fisher | Registered Nurse | 409 Airy Springs Rd, Easley, SC 29642-8702 | 2019-09-19 |
| 1194373639 | Opal Elaine Sobieszczyk | Registered Nurse | 42 Isle of Hope, Mt Pleasant, SC 29464-6634 | 2019-08-28 |
| 1740836139 | Kellie Elizabeth Baker | Registered Nurse | 1475 E Liberty St, York, SC 29745-6440 | 2019-08-13 |
| 1871148528 | Kelly Jo Childers | Registered Nurse | 1010 Devinney Rd, York, SC 29745-2127 | 2019-08-08 |
| 1003460668 | Laureen Mitchell | Registered Nurse | 2100 Bull St., Columbia, SC 29201-2104 | 2019-07-31 |
| 1578028791 | Brandi Hallman | Registered Nurse | 300 Matthews Drive, Saluda, SC 29138 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS ISLAND |
| Zip Code | 29455 |
Please comment or provide details below to improve the information on MRS. KATHY GRAY MOOCK.
| 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.