Active NPI
Amee Jean Moreno, CPNP
- Primary Care Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1073864922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP122459
- Practice address
- 1500 Cooper St
Fort Worth, TX 76104-2710 - Phone
- (682) 885-2500
- NPI assigned
- Oct 1, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 727576 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | AP122459 | TX | Primary |
Addresses
Primary practice location
1500 Cooper St
Fort Worth, TX 76104-2710
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 727576 | TX | MD | Pediatric Nurse Practitioner |
| AP122459 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Urgent Care | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDCFAD/Endpoint/JDCFAD
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1871998963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1073864922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733784",
"city": "DALLAS",
"state": "TX",
"postal_code": "753733784",
"telephone_number": "682-885-1855",
"fax_number": "682-885-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 COOPER ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042710",
"telephone_number": "682-885-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "AMEE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "727576",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP122459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Kathryn Corinne Moreland, NP
- Lisa Marie Moreland, APRN, PNP-AC
- Justin Carlshollt Morello, M.D.
- Melba A. Moreno-Lofgren, S.L.P.
- Alexis Jean Moreno, RPH, PHARMD
- Armando Luis Moreno, DO, MPH
- Celeste Desiree Moreno, DDS
- Everardo Alexander Moreno, BCBA
- Hollie Dollar Moreno, M.C.D, CCC-SLP
- Nancy Moreno, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.