Individual provider Active NPI

Caroline T. Moore, FNP

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1366275448
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN.CNP.003806 Issued in OH
Practice address
1000 E Broad St
Columbus, OH 43205-1333
Phone
(614) 252-3636
Fax
(614) 251-4061
NPI assigned
Aug 23, 2024
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.003806 OH
Family Medicine Physician 207Q00000X APRN.CNP.003806 OH Primary

Addresses

Primary practice location

1000 E Broad St
Columbus, OH 43205-1333

Mailing address

1000 E Broad St
Columbus, OH 43205-1333
Phone (614) 252-3636

Other identifiers 1

IdentifierTypeStateIssuer
0071090MedicaidOH

Other names 1

  • Caroline T. Meyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20241118003700 OH Practitioner - Nurse Practitioner 7911432620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Medical CenterGroup PAC ID 7719220730, 6 clinicians

Practice addresses (Care Compare)

314 Agler Rd
Gahanna, OH 43230-2546
Phone (614) 944-9029

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.003806OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Center Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Ohio Health Center Inc Family Medicine CurrentSince Sep 3, 2024 Accepting new patients
At Your Door Visiting Healthcare Services, LLC Family PastSince Apr 9, 2023 Accepting new patients

Locations

1000 E Broad St
Columbus, OH 43205
Phone (614) 252-3636

5969 E Broad St
Ste 407
Columbus, OH 43213
Phone (614) 755-2290

Interoperability endpoints

  • Direct secure messaging: caroline.moore.1@26301.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1366275448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051333",
            "telephone_number": "614-252-3636",
            "fax_number": "614-251-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051333",
            "telephone_number": "614-252-3636",
            "fax_number": "614-251-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAROLINE",
        "middle_name": "T.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2025-04-16",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.003806",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.003806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071090",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "MEYER",
            "middle_name": "T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.