Chavona Prinshay Moore, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-139040 Issued in AL

Practice address

1845 Cherry Street
Montgomery, AL 36107

Phone

(334) 420-5001

Fax

(334) 420-0160

NPI assigned

Mar 1, 2021

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

Enrolled in AL

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Troy Regional Physicians IncGroup PAC ID 1850587361, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Troy Regional Medical Center Home Health Home health agency, Troy, AL, CCN 017096
• Troy Regional Medical Center Hospital, Troy, AL, CCN 010126

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chavona.moore.2@3503.direct.athenahealth.com

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.

• Troy Regional Physicians Inc

  • Specialist
  • Troy, AL
  • NPI 1003124421
  Medicare reassignment Care Compare group NPD
• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Hayneville, AL
  • NPI 1598788218
  Medicare reassignment NPD
• Troy Hospital Health Care Authority

  • Family Medicine Physician
  • Troy, AL
  • NPI 1275840779
  Medicare reassignment NPD
• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Ramer, AL
  • NPI 1932122652
  NPD
• Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1184284986
  NPD
• Troy Regional Physicians Inc

  • Certified Registered Nurse Anesthetist
  • Troy, AL
  • NPI 1548578966
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LHCG Lxiv, LLC

  • Home Health Agency
  • Troy, AL
  • NPI 1700287497
  Care Compare affiliation
• Troy Hospital Health Care Authority

  • Rural Acute Care Hospital
  • Troy, AL
  • NPI 1770814626
  Care Compare affiliation

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1235724311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 CHERRY STREET",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36107",
            "telephone_number": "334-420-5001",
            "fax_number": "334-420-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CHERRY STREET",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36107",
            "telephone_number": "334-420-5001",
            "fax_number": "334-420-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHAVONA",
        "middle_name": "PRINSHAY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-139040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moon'S Acupuncture
• Moonlight Diagnostics LLC
• Kenya L Moore Dixon, ALC
• Moore Healing LLC
• Cassandra Moore, LPC
• Daniel L Moore, MD
• Edward Ryan Moore, RN, CRNP
• Isaac Moore, LPC
• Jennifer Massey Moore, FNP-C
• Kristin Moore, MSW, LCSW

• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.