Terrica Moore, DNP, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

202019164 Issued in TN

Practice address

3674 Goodman Rd E
Southaven, MS 38672-6402

Phone

(662) 890-7747

NPI assigned

Apr 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Edterrica Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14999/brand/1/csg/1/fhir/r4

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.

• All Children'S Clinic,PC

  • Pediatrics Physician
  • Senatobia, MS
  • NPI 1265756951
  NPD (past)
• Memphis Radiological, PC

  • Nuclear Radiology Physician
  • Memphis, TN
  • NPI 1457350514
  NPD (past)
• Raleigh Group P.C.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1831209873
  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1114508488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 LAGRANGE PINES RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182857",
            "telephone_number": "901-596-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726402",
            "telephone_number": "662-890-7747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Halls Cv",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386686620",
            "country_code": "US",
            "telephone_number": "662-562-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TERRICA",
        "credential": "DNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "202019164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDTERRICA",
            "last_name": "MOORE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Moore
• Apryl Suzanne Moore, SLP
• Jennifer E Moore, MS, RDN, LDN, CSR
• Raven Victoria Moore, MOT/S
• Sarah Katherine Moore, LPC
• Oterrious L Moorehead
• Cynthia Morano, RN
• Kyndal Ellzey Morgan, DO
• Lee Anne Morgan, SLP/CCC/MS
• Rodrick Morgan

• Pediatric Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.