Individual provider Active NPI

Erica Faye Moorer, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1245748474
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137141 Issued in TX
Practice address
1633 Sora Way
El Paso, TX 79911-3053
Phone
(623) 202-2225
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-83376 NM
Family Nurse Practitioner 363LF0000X CNP-03494 NM
Family Nurse Practitioner 363LF0000X AP137141 TX Primary

Addresses

Primary practice location

1633 Sora Way
El Paso, TX 79911-3053

Mailing address

1633 Sora Way
El Paso, TX 79911-3053
Phone (623) 202-2225

Other practice location 1

10638 Romero Dr
El Paso, TX 79935-1832
Phone (915) 356-4080

Other practice location 2

350 El Molino Blvd Ste G
Las Cruces, NM 88005-2915
Phone (623) 202-2225

Other identifiers 1

IdentifierTypeStateIssuer
3818817MedicaidTX

Other names 1

  • Erica Faye Galloway, Jackson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL efmoorer6@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-83376NMMDRegistered Nurse
CNP-03494NMMDFamily Nurse Practitioner
AP137141TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Home Providers LLC Current Accepting new patients

Locations

350 El Molino Blvd
Ste G
Las Cruces, NM 88005
Phone (623) 202-2225

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23743/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1245748474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 SORA WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113053",
            "telephone_number": "623-202-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 SORA WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113053",
            "telephone_number": "623-202-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10638 Romero Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799351832",
            "country_code": "US",
            "telephone_number": "915-356-4080",
            "fax_number": "915-975-8388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 El Molino Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880052915",
            "country_code": "US",
            "telephone_number": "623-202-2225",
            "fax_number": "915-875-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORER",
        "first_name": "ERICA",
        "middle_name": "FAYE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-83376",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3818817",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "efmoorer6@gmail.com",
            "affiliation": "N",
            "address_1": "1633 Sora Way",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799113053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "GALLOWAY, JACKSON",
            "middle_name": "FAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

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