Ann Christine Moore, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AZ2153 Issued in AZ

Practice address

6677 Thunderbird Road
Building G, #116
Glendale, AZ 85306

Phone

(480) 686-8874

Fax

(480) 686-8875

NPI assigned

Apr 18, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Institute for Liver Health LLCGroup PAC ID 3274898010, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Institute for Liver Health, LLC

  dba Arizona Liver Health

  • Hepatology Physician
  • Chandler, AZ
  • NPI 1831603505
  Medicare reassignment Care Compare group NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1073583472
  NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Show Low, AZ
  • NPI 1073740098
  NPD
• North Country Healthcare, Inc.

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1619345675
  NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Grand Canyon, AZ
  • NPI 1891810024
  NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578787200000",
    "number": "1184840712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244711",
            "telephone_number": "480-470-4000",
            "fax_number": "480-686-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 THUNDERBIRD ROAD",
            "address_2": "BUILDING G, #116",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "480-686-8874",
            "fax_number": "480-686-8875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "899 N Wilmot Rd Ste D3",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857111713",
            "country_code": "US",
            "telephone_number": "480-686-8874",
            "fax_number": "480-686-8875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 W Fairview St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852244711",
            "country_code": "US",
            "telephone_number": "480-470-4000",
            "fax_number": "480-686-8875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AZ2153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392956",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Monzalvo Daniel
• Katherine Charlotte Moody, MS, BCBA, LBA
• Laurie Moody, O.T.
• Monique Danielle Moody, CPT, CMA,DSP
• Allison Mackenzie Moore, MSOT, OTR/L
• Carla Moore
• Casondra Moore, D.O.
• Christi L Moore, PA
• Jeanette D Moore, NP
• Jenna Moore

• Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.