Andrew Thomas Moore, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R195755 Issued in MD

Practice address

216 E Pulaski Hwy Ste 212
Elkton, MD 21921-6589

Phone

(302) 384-7843

NPI assigned

Feb 5, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1073464061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E PULASKI HWY STE 212",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216589",
            "telephone_number": "302-384-7843",
            "fax_number": "302-351-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E PULASKI HWY STE 212",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216589",
            "telephone_number": "302-384-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R195755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Steve Montalvo, DPT
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• Jaid-Alexandra Montgomery, LMSW
• Ronald Tyler Montgomery, LGPC
• Stacey Moran, CAC-AD
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• Toccara Monique Mosley, CRNP
• Shouleh Motamedi, DDS
• Mother to Mother:Birth and Postpartum Support Services, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Elkton, MD
• Providers in Elkton, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.