Active NPI
Craig Paul Moorhouse, ATC
- Specialist
- Gray, TN
National Provider Identifier
1114912904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 394
- Practice address
- 1440 Suncrest Dr
Gray, TN 37615-4118 - Phone
- (423) 477-1600
- NPI assigned
- Sep 16, 2005
- Last updated
- Nov 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 394 | TN | Primary |
Addresses
Primary practice location
1440 Suncrest Dr
Gray, TN 37615-4118
Mailing address
220 Alfalfa LN
Jonesborough, TN 37659-3175
Phone (423) 202-2355
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 394 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479945600000",
"number": "1114912904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ALFALFA LN",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376593175",
"telephone_number": "423-202-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 SUNCREST DR",
"city": "GRAY",
"state": "TN",
"postal_code": "376154118",
"telephone_number": "423-477-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORHOUSE",
"first_name": "CRAIG",
"middle_name": "PAUL",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2016-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gray, TN
- Medical Education Assistance Corporation
- Medical Education Assistance Corporation
- Mediserve Medical Equipment of Kingsport, Inc. (Ballad Health Medical Equipment)
- Michael a. Wolf
- Nicole M Miller, MD
- Sarah Morgan, DPT
- Leah Moseley
- Mountain Wings; LLC
- Elizabeth Brezina Palmer, MD
- Susan Kay Pennypacker, FNP C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.