Megan Elizabeth Moore, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10170608 Issued in MI

Practice address

21733 Homer St
Dearborn, MI 48124-2928

Phone

(586) 943-6041

NPI assigned

Jan 29, 2018

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)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mmoore437859@direct.hfhs.org
• Direct secure messaging: megan.moore@pediatricandadolescentcenter.direct.emds.com

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1316445901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21733 HOMER ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242928",
            "telephone_number": "586-943-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21733 HOMER ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242928",
            "telephone_number": "586-943-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F10170608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalyn Moore
• Karen Moore, NNP
• Kenya Moore
• Kyra I Moore
• Lakyra Moore
• Michael Moore Jr.
• Shannon Moore
• Mahdiyeh Moosavi
• Sarah Moqbel
• Olivia Ann Moquin, MS, LLP

• Family Nurse Practitioner in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.