Individual provider Active NPI

Tammy Rene Moore

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1073768552
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
080740 Issued in TX
Practice address
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Phone
(713) 620-4000
Fax
(713) 458-4229
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 080740 TX Primary

Addresses

Primary practice location

2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817

Mailing address

2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Phone (713) 620-4000

Other practice location 1

6720 Bertner Ave Ste 220
Houston, TX 77030-2604
Phone (832) 355-2666

Other identifiers 2

IdentifierTypeStateIssuer
200866601MedicaidTX
8074UUOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090403000224 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123175304 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Anesthesia Associates PAGroup PAC ID 7618948100, 13 clinicians
Dynamic Anesthesia Providers, PLLCGroup PAC ID 0547529596, 112 clinicians
Independent Physicians Network PLLCGroup PAC ID 5496029407, 218 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

15775 Park Ten PL
Houston, TX 77084-5153
Phone (281) 550-5556

1631 N Loop W
Suite 300
Houston, TX 77008-1528
Phone (713) 343-1080

3625 N Hall St
Suite 800
Dallas, TX 75219-5106
Phone (214) 252-3535

6720 Bertner Ave
Houston, TX 77030-2604
Phone (713) 798-1000

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
080740TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jul 1, 2025 Accepting new patients
Dynamic Anesthesia Providers PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 22, 2025 Accepting new patients
Lone Star Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 12, 2026 Accepting new patients
Independent Physicians Network PLLC CurrentSince Nov 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2025 Accepting new patients
Southern Group Anesthesia PLLC CurrentSince Aug 17, 2025 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince May 22, 2023 Accepting new patients
Houston Anesthesia Services PLLC CurrentSince Jan 15, 2024 Accepting new patients
Gulf Anesthesia Associates PA CurrentSince Apr 1, 2024 Accepting new patients
Harris County Med Surg Partners PLLC CurrentSince Jan 15, 2024 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince May 22, 2023 Accepting new patients
Compass Anesthesia Providers PLLC CurrentSince Feb 2, 2020 Accepting new patients
Robert R McMinn Past Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients
Texas Pain Consultants, LLP Past Accepting new patients

Locations (25 of 37)

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300

390 N 11th St
Beaumont, TX 77702
Phone (409) 981-5500

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

676 FM 517 Rd W
Dickinson, TX 77539
Phone (713) 335-9571

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6200 Savoy Dr
Ste 1202
Houston, TX 77036
Phone (254) 220-5560

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

6720 Bertner Ave
Ste O520
Houston, TX 77030
Phone (832) 355-2202

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

2411 Fountain View Dr
Ste 200
Houston, TX 77057
Phone (713) 458-4185

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

1631 North Loop W
Ste 300
Houston, TX 77008
Phone (713) 343-1080

15775 Park Ten Pl
Houston, TX 77084
Phone (281) 550-5556

1259 FM 1463 Rd
Ste 500
Katy, TX 77494
Phone (361) 237-1072

801 FM 1463 Rd
Ste 200
Katy, TX 77494
Phone (281) 562-9553

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1073768552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000",
            "fax_number": "713-458-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000",
            "fax_number": "713-458-4229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6720 Bertner Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302604",
            "country_code": "US",
            "telephone_number": "832-355-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TAMMY",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "080740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200866601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8074UU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.