Vanessa K Moore, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

L9372 Issued in TX

Practice address

5500 Guhn Rd Ste 100
Houston, TX 77040-6162

Phone

(713) 783-8889

Fax

(713) 974-2252

NPI assigned

Jan 18, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tri-County Behavioral Healthcare

  • Multi-Specialty Clinic/Center
  • Conroe, TX
  • NPI 1851333074
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1164574000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 GUHN RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406162",
            "telephone_number": "713-783-8889",
            "fax_number": "713-974-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 GUHN RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406162",
            "telephone_number": "713-783-8889",
            "fax_number": "713-974-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VANESSA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L9372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "L9372",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tischina Chanel Moore, FNP-C
• Tonya Ann Moore, MPH, RDN, LD, CNSC
• Tracey Evette Moore
• Traquoi Moore
• Valerie Cassandra Moore, MD
• William Moore, PTA
• Xena Moore, MD
• Will Earl Moorehead, M.D.
• Maria P Mooren, PT
• Andrea Moorer, LCSW, LCDC

• Psychiatry Physician in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.