An'Nita Moore-Hebron, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R154023 Issued in MD

Practice address

7004 Security Blvd # 300-A27
Baltimore, MD 21244-2557

Phone

(410) 246-2830

Fax

(410) 246-2831

NPI assigned

Aug 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: an.nita.moore-hebron.1@15013.direct.athenahealth.com

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.

• Antorian Consulting Services

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1790156891
  Medicare reassignment NPD Authorized official
• Antorian Consulting Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1699356881
  NPD Authorized official

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1336572155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 ELLICOTT MILLS DR PMB 204",
            "address_2": "PMB 204",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434548",
            "telephone_number": "410-246-2830",
            "fax_number": "410-246-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 SECURITY BLVD # 300-A27",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442557",
            "telephone_number": "410-246-2830",
            "fax_number": "410-246-2831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3545 Ellicott Mills Dr PMB 204",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210434513",
            "country_code": "US",
            "telephone_number": "410-246-2830",
            "fax_number": "410-246-2831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE-HEBRON",
        "first_name": "AN'NITA",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R154023",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R154023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109658300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moonlight Health Partners, LLC
• Moore and Moore Management, LLC
• Sierra Moore Hines
• Moore Possibilities Health Systems LLC
• Toni Jeanne Moore- Duggan Ms, CRNP, MS, CRNP
• Tammy Moore-Wood
• Andrea L Moore, RN
• Ashley Monet Moore
• Barbara A Moore, CRNP
• Carol T Moore, CNM

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.