Individual provider Active NPI

Steven Lamar Moore, DNP, ENP-C, FNP-C

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1134601545
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
811884 Issued in NV
Practice address
2269 N Green Valley Pkwy
Henderson, NV 89014-5025
Phone
(702) 855-0500
NPI assigned
Aug 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 811884 NV
Nurse Practitioner 363L00000X 811884 NV Primary

Addresses

Primary practice location

2269 N Green Valley Pkwy
Henderson, NV 89014-5025

Mailing address

2269 N Green Valley Pkwy
Henderson, NV 89014-5025
Phone (028) 550-5007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20190227001754 NV Practitioner - Nurse Practitioner 4486993953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carefirst Urgent Care LLCGroup PAC ID 3779901939, 20 clinicians

Practice addresses (Care Compare)

4360 Blue Diamond Rd
Suite 103
Las Vegas, NV 89139-7785
Phone (513) 847-6778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
811884NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Nurse Practitioner CurrentSince Oct 15, 2022 Accepting new patients
Yang Medical Services, PLLC CurrentSince Mar 10, 2023 Accepting new patients
Carefirst Urgent Care, LLC CurrentSince Mar 20, 2023 Accepting new patients
Fremont Emergency Services Scherr LTD CurrentSince Oct 15, 2022 Accepting new patients
Clinic 21 of Nevada Zyniewicz PLLC PastSince Sep 1, 2015 Accepting new patients
CG Medical Associates Inc Past Accepting new patients

Locations

4360 Blue Diamond Rd
Ste 103
Las Vegas, NV 89139
Phone (702) 407-0524

5216 Boulder Hwy
Ste 105
Las Vegas, NV 89122
Phone (513) 846-6778

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

Organizations & group practices 6

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": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1134601545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 N GREEN VALLEY PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890145025",
            "telephone_number": "028-550-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 N GREEN VALLEY PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890145025",
            "telephone_number": "702-855-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEVEN",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "DNP, ENP-C, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-31",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "811884",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "811884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.