Active NPI
Steven Lamar Moore, DNP, ENP-C, FNP-C
- Nurse Practitioner
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 811884
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 811884 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fremont Emergency Services Scherr LTD | Nurse Practitioner | Current | Accepting new patients |
| Yang Medical Services, PLLC | Current | Accepting new patients | |
| Carefirst Urgent Care, LLC | Current | Accepting new patients | |
| Fremont Emergency Services Scherr LTD | Current | Accepting new patients | |
| Clinic 21 of Nevada Zyniewicz PLLC | Past | 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.
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1013527845
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1679550149
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1538729322
-
- Emergency Medicine Physician
- North Las Vegas, NV
- NPI 1316488141
Nurse Practitioner
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1437548906
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.