Mary Moore, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

148800-032 Issued in WI

Practice address

4118 Winnemac Ave
Madison, WI 53711-1645

Phone

(608) 238-1426

NPI assigned

Jul 7, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343520000000",
    "number": "1275796625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 ORCHARD DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111323",
            "telephone_number": "608-238-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 WINNEMAC AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111645",
            "telephone_number": "608-238-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2012-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "148800-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Moore, PSYD
• Katrina Rose Moore, MSW, LCSW
• Khara Moore
• Leyonita Moore, PH.D.
• Mark C Moore, MD
• McKenzie Kuehn Moore, LPC
• Mollie Nicole Moore, PHD
• Rebecca Lynn Moore, PT
• Sarah C. Moore, M.D.
• Tiffany Nicole Moore, APSW

• Advanced Practice Midwife in Madison, WI
• Providers in Madison, WI by specialty
• Advanced Practice Midwife in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2012; 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.