Individual provider Active NPI

Ann Pollard Moore, APRN, CNM

  • Advanced Practice Midwife
  • Morehead, KY
National Provider Identifier
1265487987
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
3002481 Issued in KY
Practice address
245 Flemingsburg Rd Ste A340
Morehead, KY 40351-1015
Phone
(606) 207-2931
Fax
(606) 783-0964
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP9395442 FL
Advanced Practice Midwife 367A00000X 3002481 KY Primary

Addresses

Primary practice location

245 Flemingsburg Rd Ste A340
Morehead, KY 40351-1015

Mailing address

330 E Hibiscus Blvd
Melbourne, FL 32901-3155
Phone (321) 724-2229

Other practice location 1

330 E Hibiscus Blvd
Melbourne, FL 32901-3155
Phone (321) 724-2229

Other practice location 2

2402 Frist Blvd
Suite 202
Fort Pierce, FL 34950-4838
Phone (772) 429-3400

Other identifiers 1

IdentifierTypeStateIssuer
014977700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909000613 FL Practitioner - Certified Nurse Midwife (CNM) 6901796952 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP9395442FLMDAdvanced Practice Midwife
3002481KYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Community Health Centers Inc Current Accepting new patients
OB Hospitalist Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Brevard Health Alliance, Inc. CurrentSince Nov 12, 2018 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Brevard Health Alliance Inc CurrentSince Nov 12, 2018 Accepting new patients
OB Hospitalist Group LLC Current Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers, Inc. CurrentSince Jun 3, 2015 Accepting new patients
Florida Community Health Centers Inc Advanced Practice Midwife CurrentSince Jun 3, 2015 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
OB Hospitalist Group LLC Advanced Practice Midwife CurrentSince Jan 1, 2023 Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140

714 Avenue C
Fort Pierce, FL 34950
Phone (772) 429-3400

2402 Frist Blvd
Ste 202
Fort Pierce, FL 34950
Phone (772) 429-3400

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2120 Sarno Rd
Melbourne, FL 32935
Phone (321) 952-9696

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 11

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1265487987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013155",
            "telephone_number": "321-724-2229",
            "fax_number": "321-728-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FLEMINGSBURG RD STE A340",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511015",
            "telephone_number": "606-207-2931",
            "fax_number": "606-783-0964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 E Hibiscus Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013155",
            "country_code": "US",
            "telephone_number": "321-724-2229",
            "fax_number": "321-728-6681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2402 Frist Blvd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349504838",
            "country_code": "US",
            "telephone_number": "772-429-3400",
            "fax_number": "772-429-3410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANN",
        "middle_name": "POLLARD",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9395442",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "3002481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014977700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.