Individual provider Active NPI

Cynthia Sue Moore, RN CFNP

  • Family Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1164589958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35438 Issued in WV
Practice address
911 Emerson Ave
Parkersburg, WV 26104-2526
Phone
(304) 422-7357
Fax
(304) 422-7374
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 35438 WV Primary

Addresses

Primary practice location

911 Emerson Ave
Parkersburg, WV 26104-2526

Mailing address

324 Chichester LN
Parkersburg, WV 26104-8513
Phone (304) 464-5284

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
35438WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling House, LLC PastSince Feb 8, 2016 Accepting new patients

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164589958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 CHICHESTER LN",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261048513",
            "telephone_number": "304-464-5284",
            "fax_number": "304-422-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042526",
            "telephone_number": "304-422-7357",
            "fax_number": "304-422-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CYNTHIA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RN CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "35438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.