Carrie Moore, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

1126195 Issued in KY

Practice address

1060 Gaffney Rd Stop 7400
Fort Wainwright, AK 99703-5007

Phone

(907) 361-4903

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1184269003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STOP 7400",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035007",
            "telephone_number": "907-361-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STOP 7400",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035007",
            "telephone_number": "907-361-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CARRIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "KY",
            "license": "1126195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Mickelson, RDH
• Monica Kristina Middleton, PA-C, EMT-B
• Randall D Miller, M.D.
• Stephanie Lisa Miller, DMD
• Elizabeth Ann Mittelstaedt
• Matthew Alexander Morisette, PA-C
• Ryan Morrill, PA-C
• Shane Matthew Morris, MD
• Larry Lior Munk, DDS
• Christopher Aaron Myers, PHD

• Case Management Registered Nurse in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Case Management Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.