Camett Michelle Moore

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP139718 Issued in TX

Practice address

8103 Brodie LN Ste 1
Austin, TX 78745-7475

Phone

(512) 502-5019

Fax

(737) 249-9246

NPI assigned

Nov 18, 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

Enrolled in TX, NC2 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

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.

• Permian Basin Community Centers for Mental Health & Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midland, TX
  • NPI 1700976453
  Medicare reassignment NPD
• Boulder Care Provider Group PA

  dba Boulder Care

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1649838590

  NC

  Medicare reassignment
• Permian Basin Community Centers for Mental Health & Mental Retardation

  • Counselor
  • Midland, TX
  • NPI 1649442310
  NPD
• Permian Basin Community Centers for Mental Health & Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alpine, TX
  • NPI 1851464119
  NPD

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

{
    "created_epoch": "1542499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1326517509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 COTTONWOOD CREEK TRL STE B1",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137862",
            "telephone_number": "512-986-7537",
            "fax_number": "512-986-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 BRODIE LN STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787457475",
            "telephone_number": "512-502-5019",
            "fax_number": "737-249-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAMETT",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-18",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Moore, PT, DPT
• Bernadette Moore, LCSW
• Bobbie Moore, FNP-C
• Brittany Moore, MD
• Bryn Elizabeth Schiele Moore, PH.D.
• Carla G Moore, P.T.
• Charles Clifton Moore, PHD
• Chassie Nicole Moore, RN
• Christopher D Moore, LPC
• Dakota Moore, RBT

• Psychiatric/Mental Health Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; 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.