BRANDI SHAYE MOORE (NPI# 1588122501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588122501 |
| Entity Type | Individual |
| Full Name | BRANDI SHAYE MOORE |
| Credential | PA |
| Practice Address |
15 Park Creek Dr Greenville SC 29605-4270 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8647977450 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3169 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366085938 | Brandi Michelle Moore | Technician | 516 North Liberty, Rushville, IL 62681 | 2019-10-25 |
| 1114476074 | Brandi Moore | Naturopath | 6424 E Greenway Pkwy Ste 100-647, Scottsdale, AZ 85254 | 2016-10-03 |
| 1881839991 | Brandi L Moore | Speech-Language Pathologist | 13170 Dutchtwn Pt Ave, Apt 2721, Gonzales, LA 70737-0101 | 2008-12-04 |
| 1134300429 | Brandi Suzanne Moore | Speech-Language Pathologist | 2220 Sw Rambling Vine Rd, Lees Summit, MO 64082-4142 | 2007-11-15 |
| 1063979581 | Brandi Moore | Occupational Therapist | 313 S 5th St, Odessa, DE 19730-2078 | 2019-02-21 |
| 1508333865 | Brandi Marie Moore | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2018-10-25 |
| 1285120931 | Brandi Alishia Moore | Speech-Language Pathologist | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4203 | 2018-07-05 |
| 1013275288 | Brandi Moore | Counselor | 2520 Saint Rose Pkwy, Ste. 202, Henderson, NV 89074-7783 | 2012-04-25 |
| 1093988743 | Brandi Lynn Moore | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2008-04-02 |
| 1528041381 | Brandi N Moore | Physician Assistant | 199 Hospital Dr, Suite 5, Galax, VA 24333-2454 | 2005-11-25 |
| Street Address |
15 PARK CREEK DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578760450 | Kimberly Lynn Burgess | Urology | 15 Park Creek Dr, Greenville, SC 29605-4270 | 2007-07-02 |
| 1457824096 | Ryan Christopher Walters | Physician Assistant | 15 Park Creek Dr, Greenville, SC 29605-4270 | 2019-01-07 |
| 1174036909 | Benjamin Allen Bowles | Nurse Practitioner | 15 Park Creek Dr, Greenville, SC 29605-4270 | 2017-11-15 |
| 1396262820 | Kristen Smith Brooks | Nurse Practitioner | 15 Park Creek Dr, Greenville, SC 29605-4270 | 2017-08-25 |
| 1245673466 | Gabriel E Fiscus | Urology | 15 Park Creek Dr, Greenville, SC 29605 | 2013-04-08 |
| 1598012346 | Andrea Lynn Mcdaniel | Nurse Practitioner | 15 Park Creek Dr, Greenville, SC 29605-4270 | 2012-08-11 |
| 1942591961 | Blake Andrew Wynia | Urology | 15 Park Creek Dr, Greenville, SC 29605-4270 | 2011-04-25 |
| 1700086840 | Margaret Lee Acres | Nurse Practitioner | 15 Park Creek Dr, Greenville, SC 29605-4270 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924977 | Caitlyn N Jetter | Physician Assistant | 7238 N State Route 49, Greenville, OH 45331-8302 | 2020-08-29 |
| 1720618291 | Kaitlin Stover | Physician Assistant | 3444 Briarcliff Dr Apt K, Greenville, NC 27834-5419 | 2020-01-23 |
| 1962044321 | Tyler Robert Tefft | Physician Assistant | 25 Draper St Apt 129, Greenville, SC 29611-4786 | 2019-10-17 |
| 1780157842 | Briana Welch Denton | Physician Assistant | 2101 W Arlington Blvd # 100, Greenville, NC 27834-5758 | 2019-01-10 |
| 1548732027 | Jennifer Pedersen | Physician Assistant | 14314 Canter Trl, Greenville, SC 29609-0964 | 2018-12-21 |
| 1972089092 | Sarah Eileen Mann | Physician Assistant | 315 Greenville Blvd Se Ste 100, Greenville, NC 27858-5733 | 2018-07-11 |
| 1134588478 | Sarah Roeser | Physician Assistant | 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 | 2016-02-15 |
| 1992177760 | Robert Chapman | Physician Assistant | 126 Milestone Way, Greenville, SC 29615-5065 | 2015-10-20 |
| 1497137756 | Alexandra Brooks | Physician Assistant | 2706 Aileen St Ste B, Greenville, TX 75402-6486 | 2015-06-23 |
| 1558776633 | David Jonathan Cutter | Physician Assistant | 1202 W Oak St Ste 200, Greenville, MI 48838-2155 | 2014-06-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.