Moorefield Park Endoscopy Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MOOREFIELD PARK ENDOSCOPY CENTER, LLC

Practice address

800 Moorefield Park Dr Ste 100
North Chesterfield, VA 23236-3686

Phone

(817) 893-2381

NPI assigned

Oct 7, 2025

Organization subpart

No

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

Authorized official

Name

Kelly Rouvaldt

Title

Sr. Director of ASC Compliance

Phone

(817) 893-2381

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1285509620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 RESERVE ST STE 550",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921604",
            "telephone_number": "817-893-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOOREFIELD PARK DR STE 100",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363686",
            "telephone_number": "817-893-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOREFIELD PARK ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "ROUVALDT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "SR. DIRECTOR OF ASC COMPLIANCE",
        "authorized_official_telephone_number": "817-893-2381"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelia Renee' Moore, PA-C
• Floyd Alexander Moore III, PTA
• Mary Elizabeth Moore
• Miranda Moore, PHARMD
• Shaniqua Lashae Moore, LCSW
• Emily Kane Moorefield, RD
• More Life Assisted Living, LLC
• Sydney Morea, LBA
• Lucia Smith Morey, MD
• Caitlin Morin, MD

• Ambulatory Surgical Clinic/Center in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.