ELOISE MOORE
NPI 1578458568
Student in an Organized Health Care Education/Training Program in Johns Island, SC

Active since June 10, 2025
3658 MOONGLOW DR, JOHNS ISLAND, SC 29455(843) 801-2970 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eloise Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELOISE MOORE (NPI 1578458568) is an individual student in an organized health care education/training program in Johns Island, South Carolina and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1578458568
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELOISE MOORE
Location Address3658 MOONGLOW DRJohns Island, SC 29455-7820
Mailing Address3658 Moonglow DrJohns Island, SC 29455-7820
Sole ProprietorNo
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
NPI 1578458568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X
3658 MOONGLOW DR, Johns Island, SC 29455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eloise Moore's NPI number?

The NPI number for Eloise Moore is 1578458568. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Eloise Moore located?

Eloise Moore practices at 3658 Moonglow Dr, Johns Island, SC 29455. The listed phone number is (843) 801-2970.

What is Eloise Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Eloise Moore was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.