Vickie B Moore, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024059060 Issued in VA

Practice address

2728 Old Forest Road
Lynchburg, VA 24501-2435

Phone

(434) 385-7818

Fax

(434) 385-7820

NPI assigned

Nov 18, 2005

Last updated

Dec 20, 2011By 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 1

Addresses

Other identifiers 1

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1316929839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 OLD FOREST ROAD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012435",
            "telephone_number": "434-385-7818",
            "fax_number": "434-385-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 OLD FOREST ROAD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012435",
            "telephone_number": "434-385-7818",
            "fax_number": "434-385-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VICKIE",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024059060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007780125",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manasjai Moore
• Megan Moore, O.D.
• Penelope Moore, PA-C
• Sheri Denise Moore, NP
• Theresa F Moore, LPC
• Wayne Moore Jr., PT, PHD
• Aric Jordan Moran, MD
• Joni Morcom, PA-C
• Samuel Adam Morcom, M.D.
• Michaela Morel, LPC

• Nurse Practitioner in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.