Individual provider Active NPI

Lindsay Grace Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • New London, CT
National Provider Identifier
1154959765
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
10717 Issued in CT
Practice address
365 Montauk Ave
New London, CT 06320-4700
Phone
(860) 442-0711
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN9511006 FL
Anesthesiology Physician 207L00000X 277039 AZ
Certified Registered Nurse Anesthetist 367500000X 11019518 FL
Certified Registered Nurse Anesthetist 367500000X 277039 AZ
Certified Registered Nurse Anesthetist 367500000X 10717 CT Primary

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

1154 Hill St
Bristol, CT 06010-2256
Phone (860) 751-2761

Other practice location 1

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-6000

Other practice location 2

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541

Other practice location 3

263 Farmington Ave
Farmington, CT 06032-1956
Phone (860) 679-2000

Other practice location 4

2 Corporate Dr Fl 9
Shelton, CT 06484-6238
Phone (203) 929-7353

Other identifiers 2

IdentifierTypeStateIssuer
1154959765MedicaidCT
1154959765MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lindsay.moore@mymail.barry.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, AZ, UT, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220720002900 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234510306 Reassigns benefits to 3 organizations
I20221228002646 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234510306 Reassigns benefits to 1 organization
I20240612002035 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234510306 Reassigns benefits to 1 organization
I20241115002517 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234510306

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Anesthesia Associates LLCGroup PAC ID 1759281165, 402 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06032-1956
Phone (860) 972-2117

Hospital & facility affiliations

  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9511006FLMDCritical Care Medicine Registered Nurse
277039AZMDAnesthesiology Physician
10717CTMDCertified Registered Nurse Anesthetist
11019518FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
NPH Anesthesia of Utah, LLC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
Northeast Medical Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
North American Partners in Anesthesia Connecticut PC Anesthesiology CurrentSince Jun 7, 2022 Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Integrated Anesthesia Associates LLC Anesthesiology CurrentSince Jan 20, 2024 Accepting new patients

Locations

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

263 Farmington Ave
Farmington, CT 06032
Phone (860) 679-1706

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

2 Corporate Dr
Fl 9
Shelton, CT 06484
Phone (203) 929-7375

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1154959765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 HILL ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102256",
            "telephone_number": "860-751-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Robbins St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082613",
            "country_code": "US",
            "telephone_number": "203-573-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Pomfret St",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601836",
            "country_code": "US",
            "telephone_number": "860-928-6541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321956",
            "country_code": "US",
            "telephone_number": "860-679-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Corporate Dr Fl 9",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064846238",
            "country_code": "US",
            "telephone_number": "203-929-7353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LINDSAY",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9511006",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "277039",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11019518",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "277039",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "10717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154959765",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154959765",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lindsay.moore@mymail.barry.edu",
            "affiliation": "N",
            "address_1": "9123 N Military Trl",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334105990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.