Active NPI
Cheryl Moore, FNP
- Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 89816
- Practice address
- 650 New York St
Memphis, TN 38104-5536 - Phone
- (901) 728-5858
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 89816 | TN | Primary |
Addresses
Primary practice location
650 New York St
Memphis, TN 38104-5536
Mailing address
650 New York St
Memphis, TN 38104-5536
Other practice location 1
1700 Medical Center Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4694
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78014586 | Medicaid | KY | |
| 3641284 | Medicaid | TN | |
| 4120637 | Other | TN | BCBS OF TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4685
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89816 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Medical Observation Services LLC | Past | Accepting new patients | |
| Prohealth Rural Health Services, Inc | Past | Accepting new patients | |
| Volunteer Medical Group, P.C. | Past | Accepting new patients | |
| Prohealth Rural Health Services, Inc | Past | Accepting new patients | |
| Emergency Coverage Services, PC | Nurse Practitioner | Past | Accepting new patients |
Locations
2755 New Salem Hwy
Ste 200
Murfreesboro, TN 37128
Phone (629) 218-6780
1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Emergency Medicine Physician
- Cookeville, TN
- NPI 1669734877
-
- Federally Qualified Health Center (FQHC)
- Franklin, TN
- NPI 1104827534
-
- Federally Qualified Health Center (FQHC)
- Columbia, TN
- NPI 1124270657
-
- Emergency Medicine Physician
- Cookeville, TN
- NPI 1801886999
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murfreesboro, TN
- NPI 1164590386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1366486334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 NEW YORK ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 NEW YORK ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045536",
"telephone_number": "901-728-5858"
}
],
"practiceLocations": [
{
"address_1": "1700 Medical Center Pkwy",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371292245",
"country_code": "US",
"telephone_number": "615-396-4694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "CHERYL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "89816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78014586",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3641284",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4120637",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.