Individual provider Active NPI

Natasha Pugh Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1104971266
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1094585 Issued in TX
Practice address
2727 W Dr Martin Luther King Jr Blvd
Suite 310
Tampa, FL 33607-6383
Phone
(813) 350-7244
Fax
(813) 350-7246
NPI assigned
Jan 25, 2007
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 176958 NC
Certified Registered Nurse Anesthetist 367500000X 0024168116 VA
Certified Registered Nurse Anesthetist 367500000X ARNP9370840 FL
Certified Registered Nurse Anesthetist 367500000X 1094585 TX Primary

Addresses

Primary practice location

2727 W Dr Martin Luther King Jr Blvd
Suite 310
Tampa, FL 33607-6383

Mailing address

2727 W Dr Martin Luther King Jr Blvd
Suite 310
Tampa, FL 33607-6383
Phone (813) 350-7244

Other practice location 1

12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone (972) 715-5000

Other names 1

  • Natasha Pugh Moore Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141013001712 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486602638 Reassigns benefits to 5 organizations
I20221122000833 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486602638 Reassigns benefits to 1 organization
I20240402000716 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486602638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-4396

2901 B Swann Ave
Tampa, FL 33609-4056
Phone (813) 873-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176958NCMDCertified Registered Nurse Anesthetist
1094585TXMDCertified Registered Nurse Anesthetist
0024168116VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Oct 1, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Mar 14, 2019 Accepting new patients
Anesthesia Medicine Services of FL, LLC CurrentSince Aug 22, 2024 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Apr 10, 2025 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Deaconess Hospital Inc CurrentSince Feb 1, 2024 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Mar 14, 2019 Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients
Lenoir Memorial Hospital, Incorporated Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

711 S Parsons Ave
Brandon, FL 33511
Phone (813) 654-7111

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

400 10th St E
Waconia, MN 55387

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

2555 Jimmy Johnson Blvd
#O
Port Arthur, TX 77640
Phone (409) 724-7389

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Networks

  • Freedom Health HMO Network

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1104971266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-350-7244",
            "fax_number": "813-350-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-350-7244",
            "fax_number": "813-350-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 Merit Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752513294",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NATASHA",
        "middle_name": "PUGH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "176958",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168116",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9370840",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1094585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "PUGH MOORE",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.