Brittany Moore, BSN, RN, CA-CP SANE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1040254 Issued in TX

Practice address

4125 Fairway Dr Ste 110
Carrollton, TX 75010-6506

Phone

(214) 466-1048

NPI assigned

Nov 20, 2024

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

Other names 1

• Ms. Brittany Sudduth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1346065786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 FAIRWAY DR STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 FAIRWAY DR STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106506",
            "telephone_number": "214-466-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRITTANY",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, CA-CP SANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1040254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "SUDDUTH",
            "prefix": "MS.",
            "credential": "BSN, RN. PCCN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anabelle Rose Montague, FNP-C
• Louis Montanaro III, M.D.
• Joyce Oksoo Moon
• Aja Moore, LMSW
• Anastasia Moore
• Carlotta Marie Moore
• Geneava Moore
• Jennifer De'Shae Moore, LCSW
• Julie E Moore, D.D.S.
• Neecie Moore, PHD, LPC, LMFT

• Registered Nurse in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.