Individual provider Active NPI

Jo-Ann M Moore, RN, MSN, ANP-C

  • Nurse Practitioner
  • North Smithfield, RI
National Provider Identifier
1104134113
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN01013 Issued in RI
Practice address
65 Eddie Dowling Hwy
North Smithfield, RI 02896-7305
Phone
(401) 597-5353
Fax
(401) 769-4555
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NPP37578 RI
Nurse Practitioner 363L00000X APRN01013 RI Primary

Addresses

Primary practice location

65 Eddie Dowling Hwy
North Smithfield, RI 02896-7305

Mailing address

1681 Cranston St Ste D
Cranston, RI 02920-5000
Phone (401) 946-8446

Other practice location 1

1681 Cranston St Ste D
Cranston, RI 02920-5000
Phone (401) 946-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000484 RI Practitioner - Nurse Practitioner 9638358765 Reassigns benefits to 1 organization
Practice locations: Coventry, RI

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers of Rhode Island PCGroup PAC ID 3072913714, 51 clinicians

Practice addresses (Care Compare)

400 Putnam Pike
Smithfield, RI 02917-2408
Phone (401) 757-6160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers of Rhode Island PC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Care Resource, LLC Past Accepting new patients
Gregory G Allen Jr, D.O. Inc PastSince May 19, 2013 Accepting new patients

Locations

982 Tiogue Ave
Coventry, RI 02816
Phone (401) 615-3140

106 Nate Whipple Hwy
Ste 101
Cumberland, RI 02864
Phone (401) 658-1197

2140 Mendon Rd
Cumberland, RI 02864
Phone (401) 334-9630

400 Putnam Pike
Smithfield, RI 02917
Phone (401) 232-7001

Interoperability endpoints

  • Direct secure messaging: jo.ann.moore.1@9000.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1104134113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 CRANSTON ST STE D",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205000",
            "telephone_number": "401-946-8446",
            "fax_number": "401-946-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967305",
            "telephone_number": "401-597-5353",
            "fax_number": "401-769-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1681 Cranston St Ste D",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029205000",
            "country_code": "US",
            "telephone_number": "401-946-8446",
            "fax_number": "401-946-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JO-ANN",
        "middle_name": "M",
        "credential": "RN, MSN, ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "NPP37578",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN01013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

Verify at the official NPI Registry.