Merijeanne Anne Moore, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

AA2609 Issued in AK

Practice address

7841 Talisman Rd
Anchorage, AK 99516-3327

Phone

(074) 411-1609

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1336220748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 TALISMAN RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995163327",
            "telephone_number": "074-411-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7841 TALISMAN RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995163327",
            "telephone_number": "074-411-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MERIJEANNE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "AA2609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Kurtis Moore, CRNA
• Julia R Moore, M.AC, LICAC,DIPL. AC
• Kathryn McCallum Moore
• Laura M Moore, MD
• Madgell Moore, LCSW
• Nichell Moore, PHARM.D.
• Phillip Moore
• Rochellene Moore, LMT
• Ryan Timothy Moore, M.D.
• Tamara Dawn Moore, OTRL

• Psychiatry Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Psychiatry Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.