Laura Carolyn Moore, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP115665 Issued in TX

Practice address

401 Stribling Dr Ste 201
Azle, TX 76020-2581

Phone

(817) 702-1100

Fax

(817) 702-0241

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Laura Carolyn Bishop Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment NPD
• CD Urgent Care Center 5, PLLC

  • Urgent Care Clinic/Center
  • Fort Worth, TX
  • NPI 1407224850
  Medicare reassignment NPD
• City Doc Uptown Urgent Care Center, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1679686349
  Medicare reassignment NPD
• Citydoc Urgent Care Center 2, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1003044942
  Medicare reassignment NPD
• Citydoc Urgent Care Center 3, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1619237401
  Medicare reassignment NPD
• Clinical Bridges PLLC

  • Adult Health Nurse Practitioner
  • Kerens, TX
  • NPI 1982024766
  Medicare reassignment NPD
• D&J Grace Team LLC

  • Internal Medicine Physician
  • Crowley, TX
  • NPI 1093062937
  Medicare reassignment NPD
• Pulse Primary Care of Texas PLLC

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1033006986
  Medicare reassignment NPD
• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment NPD
• Citimed, P.a.

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1487823316
  NPD (past)
• Paul Phillips III, M.D., P.a.

  • Orthopaedic Surgery Physician
  • Fredericksburg, TX
  • NPI 1477045151
  NPD (past)
• Reclaim Physicians Medical Group Inc

  • Family Medicine Physician
  • Grapevine, TX
  • NPI 1811418023
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1326191701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAGNOLIA AVE STE 201",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761047657",
            "telephone_number": "817-702-2977",
            "fax_number": "817-702-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 STRIBLING DR STE 201",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202581",
            "telephone_number": "817-702-1100",
            "fax_number": "817-702-0241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 8th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042619",
            "country_code": "US",
            "telephone_number": "817-336-7275",
            "fax_number": "817-336-8594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAURA",
        "middle_name": "CAROLYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "3045",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0001358-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BISHOP",
            "middle_name": "CAROLYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• MHS of Texas II, Inc.
• Michael D Conte Odpc
• Lauren Miller, PA
• Sydney Montgomery, LPC-ASSOCIATE
• Jennifer Ann Moore, PTA
• Rachel Adams Moore, FNP-BC
• Marshall Morrison, MD
• MRP II Healthcare Management, LLC
• Eric Christopher Murphy, PTA
• Roddy J Murr, R.PH.

• Family Nurse Practitioner in Azle, TX
• Providers in Azle, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.

Verify at the official NPI Registry.