Individual provider Active NPI

Mandy Karimi Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Plano, TX
National Provider Identifier
1316482979
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP133067 Issued in TX
Practice address
5055 W Park Blvd
Plano, TX 75093-2586
Phone
(833) 774-6329
NPI assigned
Jan 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP133067 TX Primary

Addresses

Primary practice location

5055 W Park Blvd
Plano, TX 75093-2586

Mailing address

2701 Sherrill Park Dr
Richardson, TX 75082-3217
Phone (817) 422-3958

Other practice location 1

1717 Precinct Line Rd
Hurst, TX 76054-3169
Phone (817) 809-2993

Other names 1

  • Mandy Karimi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170209001824 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436432853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

3131 University Dr E
The Physicians Centre Hospital
Bryan, TX 77802-3473
Phone (979) 731-3250

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP133067TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
PSB Anesthesia PA Nurse Anesthetist, Certified Registered CurrentSince May 10, 2025 Accepting new patients
Moore Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 26, 2025 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince May 1, 2024 Accepting new patients
360 Pain and Spine PLLC CurrentSince Jun 5, 2024 Accepting new patients
Arcadia Anesthesia PA CurrentSince Apr 1, 2024 Accepting new patients
Hammer Anesthesia, PLLC Nurse Anesthetist, Certified Registered PastSince Jul 20, 2021 Accepting new patients

Locations

17051 Dallas Pkwy
Ste 300
Addison, TX 75001
Phone (214) 888-3888

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

9301 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 365-8144

9301 N Central Expy
Ste 400
Dallas, TX 75231

9301 N Central Expy
Ste 685
Dallas, TX 75231
Phone (214) 265-9991

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

461 Westpark Way
Euless, TX 76040
Phone (817) 540-1755

416 S Henderson St
Ft Worth, TX 76104
Phone (682) 478-8123

1308 Village Creek Dr
Ste 2000
Plano, TX 75093
Phone (469) 589-1871

6101 Windhaven Pkwy
Ste 195
Plano, TX 75093
Phone (214) 532-7629

5055 W Park Blvd
Ste 800
Plano, TX 75093
Phone (214) 299-7010

2633 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (469) 562-1992

3009 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (469) 589-1871

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21996/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1316482979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SHERRILL PARK DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823217",
            "telephone_number": "817-422-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 W PARK BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932586",
            "telephone_number": "833-774-6329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Precinct Line Rd",
            "address_purpose": "LOCATION",
            "city": "Hurst",
            "state": "TX",
            "postal_code": "760543169",
            "country_code": "US",
            "telephone_number": "817-809-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MANDY",
        "middle_name": "KARIMI",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP133067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "KARIMI",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.