Denise S Moore, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

9187658 Issued in FL

Practice address

3301 66TH St N
St Petersburg, FL 33710-1547

Phone

(727) 743-9973

Fax

(727) 528-8628

NPI assigned

Aug 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (2 of 4)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHJFBA
• FHIR API: https://fhir4.healow.com/fhir/r4/HHJFBA/Endpoint/HHJFBA

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 Florida Family Care Inc

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1215964598
  Medicare reassignment NPD
• Promed Ipa LLC

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1457218596
  NPD (past)

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1144744822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 66TH ST N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101547",
            "telephone_number": "727-344-6200",
            "fax_number": "727-344-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101547",
            "telephone_number": "727-743-9973",
            "fax_number": "727-528-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DENISE",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9187658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Moore Hartford, L.M.T.
• Carla Moore
• Cheryl Moore, HYPNOTHERAPIST
• Christine Joan Moore, ARNP
• Clint Alexander Moore, CBHCHS CASE MGMT.
• Donovan Moore
• Kylie Moore
• Laurel Moore
• Lily Mae Moore, LMT
• Madison Moore

• Gerontology Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.

Verify at the official NPI Registry.