Individual provider Active NPI

Pamela Grace Moore, HAS

  • Hearing Instrument Specialist
  • Inverness, FL
National Provider Identifier
1174299788
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5587 Issued in FL
Practice address
2222 Highway 44 W
Inverness, FL 34453-3860
Phone
(352) 419-6565
NPI assigned
Aug 23, 2021
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X NU
Hearing Instrument Specialist 237700000X AS5587 FL Primary

Addresses

Primary practice location

2222 Highway 44 W
Inverness, FL 34453-3860

Mailing address

6615 Gunn Hwy
Tampa, FL 33625-4056
Phone (813) 265-2255

Other practice location 1

20450 E Pennsylvania Ave
Dunnellon, FL 34432-6030
Phone (352) 448-1772

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

State licenses

LicenseStateTypeSpecialty
AS5587FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Gardner Inc CurrentSince Jan 1, 2023 Accepting new patients
Accuhear, Inc. PastSince Aug 1, 2021 Accepting new patients
Inverness Family Practice P a PastSince Jan 1, 2023 Accepting new patients
Alvarez Audiology & Hearing LLC PastSince Jan 1, 2023 Accepting new patients

Locations

20450 E Pennsylvania Ave
Dunnellon, FL 34432
Phone (352) 448-1772

2222 Highway 44 W
Inverness, FL 34453
Phone (352) 419-6565

6615 Gunn Hwy
Tampa, FL 33625
Phone (800) 277-1182

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1174299788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254056",
            "telephone_number": "813-265-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533860",
            "telephone_number": "352-419-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20450 E Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Dunnellon",
            "state": "FL",
            "postal_code": "344326030",
            "country_code": "US",
            "telephone_number": "352-448-1772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PAMELA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.