Individual provider Active NPI

Ashley Moore, RN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1184017543
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP127673 Issued in TX
Practice address
621 N Hall St
Suite 100
Dallas, TX 75226-1339
Phone
(214) 821-9600
Fax
(214) 823-5290
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP127673 TX Primary

Addresses

Primary practice location

621 N Hall St
Suite 100
Dallas, TX 75226-1339

Mailing address

621 N Hall St
Suite 100
Dallas, TX 75226-1339
Phone (214) 821-9600

Other identifiers 1

IdentifierTypeStateIssuer
419441ZPU1OtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708002397 TX Practitioner - Nurse Practitioner 8426360157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

1250 8TH Ave
Suite 240
Fort Worth, TX 76104-4139
Phone (817) 927-0456

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Vascular Associates CurrentSince May 1, 2015 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Jan 1, 2022 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

11803 South Fwy
Ste 201
Burleson, TX 76028
Phone (817) 293-4800

621 N Hall St
Ste 100
Dallas, TX 75226
Phone (214) 820-0600

2301 S FM 51
Ste 300
Decatur, TX 76234
Phone (940) 600-5799

1250 8th Ave
Ste 240
Fort Worth, TX 76104

1307 8th Ave
Ste 302
Fort Worth, TX 76104
Phone (817) 920-9293

510 E Highway 377
Granbury, TX 76048
Phone (817) 573-3338

2800 E Broad St
Ste 508
Mansfield, TX 76063
Phone (682) 400-4001

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

4716 Alliance Blvd
Ste 200
Plano, TX 75093
Phone (972) 665-9100

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: ashely.moore.p1@direct.thc.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1184017543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N HALL ST",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261339",
            "telephone_number": "214-821-9600",
            "fax_number": "214-823-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N HALL ST",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261339",
            "telephone_number": "214-821-9600",
            "fax_number": "214-823-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ASHLEY",
        "credential": "RN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP127673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "419441ZPU1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.