Active NPI
Deborah Irene Moore, ARNP
- Nurse Practitioner
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 044636-23-05
- Practice address
- 138 Webster St
Manchester, NH 03104-2512 - Phone
- (603) 663-7030
- Fax
- (603) 663-7039
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 044636-23-05 | NH | Primary |
Addresses
Primary practice location
138 Webster St
Manchester, NH 03104-2512
Mailing address
138 Webster St
Manchester, NH 03104-2512
Phone (603) 663-7030
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23YP04736NH01 | Other | NH | ANTHEM ACES PIN |
| P00118051 | Other | NH | RR MEDICARE PIN |
| 044363 | Other | NH | TUFTS PIN |
| 30102Y | Other | NH | ANTHEM REFERRING RAN |
| 30342539 | Medicaid | NH | |
| 5796011 | Other | NH | CIGNA PIN |
| S67113 | Other | NH | HPHC PIN |
Other names 1
- Deborah Moore Kuzma
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Physicians Network | Current | Accepting new patients | |
| Cambridge Public Health Commission | Past | Accepting new patients |
Locations
138 Webster St
Manchester, NH 03104
Phone (603) 645-5977
275 Mammoth Rd
Manchester, NH 03109
Phone (603) 663-8300
275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Manchester, NH
- NPI 1831191659
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1326029273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 WEBSTER ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042512",
"telephone_number": "603-663-7030",
"fax_number": "603-663-7039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 WEBSTER ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042512",
"telephone_number": "603-663-7030",
"fax_number": "603-663-7039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DEBORAH",
"middle_name": "IRENE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "044636-23-05",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ACES PIN",
"identifier": "23YP04736NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00118051",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PIN",
"identifier": "044363",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM REFERRING RAN",
"identifier": "30102Y",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30342539",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "5796011",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC PIN",
"identifier": "S67113",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "KUZMA",
"middle_name": "MOORE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.