Michele A Moore, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71003528A Issued in IN

Practice address

45 N 250 W
Lagrange, IN 46761-8667

Phone

(260) 499-4233

Fax

(260) 499-4235

NPI assigned

Feb 1, 2011

Last updated

Feb 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1275839706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BISON BLVD",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551923",
            "telephone_number": "260-927-4198",
            "fax_number": "260-499-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N 250 W",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467618667",
            "telephone_number": "260-499-4233",
            "fax_number": "260-499-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28159229",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003528A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000697704",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201010140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Me and My House Counseling Center
• Erica Miller, PT
• Melissa Jane Miller, PTA
• Robinn G Mitchell, MSW
• Julie Moore, MSW
• Kamran Mushtaq, MD
• Sumant Nanduri, MBBS, MD
• Craig Lee Nelson, DDS
• Lilee Nguyen, PA-C
• Kerri Lauren Nickles, ED.S.

• Family Nurse Practitioner in Lagrange, IN
• Providers in Lagrange, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.