Active NPI
Elizabeth Moore, NP
- Family Nurse Practitioner
- East Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN04913
- Practice address
- 1 Kettle Point Ave
East Providence, RI 02914-5375 - Phone
- (401) 457-1500
- NPI assigned
- May 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN04913 | RI | Primary |
Addresses
Primary practice location
1 Kettle Point Ave
East Providence, RI 02914-5375
Mailing address
1 Kettle Point Ave
East Providence, RI 02914-5375
Other practice location 1
2 Dudley St Ste 200
Providence, RI 02905-3252
Phone (401) 457-1500
Other practice location 2
1598 S County Trl
East Greenwich, RI 02818-1762
Phone (401) 457-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
670 Glades Rd
Suite 200
Boca Raton, FL 33431-6464
Phone (561) 495-9511
Hospital & facility affiliations
- Boca Raton Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN04913 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Spine Associates LLC | Current | Accepting new patients | |
| Ortho Florida, LLC | Past | Accepting new patients |
Locations
670 Glades Rd
Ste 200
Boca Raton, FL 33431
Phone (561) 391-6470
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BECBDD/Endpoint/BECBDD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Boca Raton, FL
- NPI 1225675804
-
- Orthopaedic Surgery Physician
- Providence, RI
- NPI 1235181041
-
- Orthopaedic Surgery of the Spine Physician
- Boca Raton, FL
- NPI 1013466382
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1013395870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KETTLE POINT AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029145375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KETTLE POINT AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029145375",
"telephone_number": "401-457-1500"
}
],
"practiceLocations": [
{
"address_1": "2 Dudley St Ste 200",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029053252",
"country_code": "US",
"telephone_number": "401-457-1500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1598 S County Trl",
"address_purpose": "LOCATION",
"city": "East Greenwich",
"state": "RI",
"postal_code": "028181762",
"country_code": "US",
"telephone_number": "401-457-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "ELIZABETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN04913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.