Vicki Hurley Moore, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AO1821 Issued in AR

Practice address

500 S Mount Olive St
Suite 200
Siloam Springs, AR 72761-3602

Phone

(479) 524-9550

Fax

(479) 524-9552

NPI assigned

Oct 2, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1215020920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE",
            "address_2": "SUITE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644634",
            "telephone_number": "479-751-7417",
            "fax_number": "479-751-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MOUNT OLIVE ST",
            "address_2": "SUITE 200",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613602",
            "telephone_number": "479-524-9550",
            "fax_number": "479-524-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VICKI",
        "middle_name": "HURLEY",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "AO1821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5-Y752",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Christine Merrell, FNP-BC
• Hannah Millsap, LPC
• Eva Michelle Mitchell, LPC
• Modern Gastroenterology
• Emily Kay Moore
• Kristie D Morgan, LCSW
• Joseph D Morningstar
• April Dee Morris, LPC
• Hailey L Morris
• Sherry M Mosley

• Family Nurse Practitioner in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.