Active NPI
Julie Moore
- Family Nurse Practitioner
- Hendersonville, TN
National Provider Identifier
1144618133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19442
- Practice address
- 131 Saundersville Rd
160
Hendersonville, TN 37075-8903 - Phone
- (615) 824-3737
- Fax
- (888) 687-6133
- NPI assigned
- Dec 30, 2014
- Last updated
- Jul 10, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19442 | TN | Primary |
Addresses
Primary practice location
131 Saundersville Rd
160
Hendersonville, TN 37075-8903
Mailing address
131 Saundersville Rd
160
Hendersonville, TN 37075-8903
Phone (615) 824-3737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10350I1962 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19442 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Medical Group, PLLC | Current | Accepting new patients | |
| Comprehensive Neurology Center PLLC | Past | Accepting new patients |
Locations
491 Sage Rd N
Ste 200
White House, TN 37188
Phone (615) 581-5925
Organizations & group practices 2
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.
-
- Clinic/Center
- White House, TN
- NPI 1073539607
-
- Interventional Pain Medicine Physician
- Hermitage, TN
- NPI 1699257444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1144618133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 SAUNDERSVILLE RD",
"address_2": "160",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370758903",
"telephone_number": "615-824-3737",
"fax_number": "888-687-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 SAUNDERSVILLE RD",
"address_2": "160",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370758903",
"telephone_number": "615-824-3737",
"fax_number": "888-687-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-30",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "19442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10350I1962",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.