Individual provider Active NPI

Debbie Moore, APRN-BC

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1316021926
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000007533 Issued in TN
Practice address
1504 Williams Dr
Murfreesboro, TN 37129-3274
Phone
(615) 278-2241
Fax
(615) 206-7587
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000007533 TN Primary

Addresses

Primary practice location

1504 Williams Dr
Murfreesboro, TN 37129-3274

Mailing address

115 N Thompson LN
Murfreesboro, TN 37129-4305
Phone (615) 896-4482

Other identifiers 1

IdentifierTypeStateIssuer
03349124MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000418 TN Practitioner - Nurse Practitioner 5991778706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Volunteer Behavioral Health Care SystemGroup PAC ID 3678485802, 44 clinicians

Practice addresses (Care Compare)

1504 Williams Dr
Murfreesboro, TN 37129-3274
Phone (615) 278-2241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000007533TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Family Medical PLC Family CurrentSince Jun 23, 2003 Accepting new patients
Volunteer Behavioral Health Care System CurrentSince Apr 30, 2018 Accepting new patients
Volunteer Behavioral Health Care System Past Accepting new patients
Healthy Habits Past Accepting new patients

Locations

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

1504 Williams Dr
Murfreesboro, TN 37129
Phone (615) 278-2241

115 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 439-6165

490 Saint Andrews Dr
Ste 106
Murfreesboro, TN 37128
Phone (615) 962-7800

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1316021926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N THOMPSON LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294305",
            "telephone_number": "615-896-4482",
            "fax_number": "615-896-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 WILLIAMS DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293274",
            "telephone_number": "615-278-2241",
            "fax_number": "615-206-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEBBIE",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000007533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03349124",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.