Individual provider Active NPI

Dayna Cherise Moore, MD

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1154640332
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME117095 Issued in FL
Practice address
12871 Citrus Plaza Dr
Tampa, FL 33625-3010
Phone
(813) 471-4445
Fax
(813) 343-5022
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME117095 FL Primary

Addresses

Primary practice location

12871 Citrus Plaza Dr
Tampa, FL 33625-3010

Mailing address

900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (813) 471-4445

Other identifiers 1

IdentifierTypeStateIssuer
009408200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dayna.moore@pedsassoc.eclinicaldirectplus.com

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Bou Pediatrics Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dayna.moore.1@16288.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16288/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1154640332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "813-471-4445",
            "fax_number": "813-343-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12871 CITRUS PLAZA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253010",
            "telephone_number": "813-471-4445",
            "fax_number": "813-343-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAYNA",
        "middle_name": "CHERISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME117095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009408200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dayna.moore@pedsassoc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10710 State Road 54 Ste 108",
            "city": "Trinity",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346552263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.