Active NPI
Terry Lee Moyer, CRNA
- Certified Registered Nurse Anesthetist
- Port Orange, FL
National Provider Identifier
1174526602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9208438
- Practice address
- 6053 Sabal Creek Blvd
Port Orange, FL 32128-7136 - Phone
- (386) 299-9866
- NPI assigned
- May 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9208438 | FL | Primary |
Addresses
Primary practice location
6053 Sabal Creek Blvd
Port Orange, FL 32128-7136
Mailing address
6053 Sabal Creek Blvd
Port Orange, FL 32128-7136
Phone (386) 299-9866
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
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volusia Anesthesia Associates | Past | Accepting new patients | |
| Halifax Anesthesiology Associates PA | Past | Accepting new patients | |
| Melbourne Anesthesia, P.a. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Daytona Beach, FL
- NPI 1639194590
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1184648792
-
- Anesthesiology Physician
- Daytona Beach, FL
- NPI 1205862992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174526602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6053 SABAL CREEK BLVD",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321287136",
"telephone_number": "386-299-9866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6053 SABAL CREEK BLVD",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321287136",
"telephone_number": "386-299-9866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "TERRY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9208438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.