Individual provider Active NPI

Verretta Moore, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1366827511
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95014499 Issued in CA
Practice address
2001 Wilshire Blvd Ste 320
Santa Monica, CA 90403-5683
Phone
(310) 566-2006
NPI assigned
Jul 29, 2015
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95014499 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN200447 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC009555 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95014499 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 907712 MS
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 71008674A IN

Addresses

Primary practice location

2001 Wilshire Blvd Ste 320
Santa Monica, CA 90403-5683

Mailing address

1706 English Ivey LN NW
Kennesaw, GA 30144-2994
Phone (404) 226-3635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IN, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160211002605 GA Practitioner - Nurse Practitioner 6103120100 Reassigns benefits to 1 organization
I20190125002309 IN Practitioner - Nurse Practitioner 6103120100 Reassigns benefits to 1 organization
I20240805001731 CA Practitioner - Nurse Practitioner 6103120100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2001 Wilshire Blvd
Suite 320
Santa Monica, CA 90403-5683
Phone (855) 501-1004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95014499CAMDNurse Practitioner
71008674AINMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine M.D. Professional Corporation Psychiatric/Mental Health CurrentSince Jul 22, 2024 Accepting new patients
Highland Rivers CSB CurrentSince Apr 18, 2016 Accepting new patients
Saylor Grace Psychiatry LLC Psychiatric/Mental Health CurrentSince May 10, 2026 Accepting new patients
Meridian Health Services Corp. CurrentSince Jan 22, 2019 Accepting new patients
Highland Rivers Community Service Board Current Accepting new patients
Highland Rivers CSB CurrentSince Apr 18, 2016 Accepting new patients
Mark David Levine, MD Burlingame PC CurrentSince Jul 22, 2024 Accepting new patients
Meridian Health Services Corp CurrentSince Jan 22, 2019 Accepting new patients

Locations

4553 Glencoe Ave
Ste 315
Marina del Rey, CA 90292

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

2001 Wilshire Blvd
Ste 320
Santa Monica, CA 90403
Phone (310) 566-2006

1870 The Exchange SE
Ste 22
Atlanta, GA 30339

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

2506 Willowbrook Pkwy
Ste 102
Indianapolis, IN 46205
Phone (317) 650-4752

240 N Tillotson Ave
Muncie, IN 47304

1755 Lelia Dr
Ste 405
Jackson, MS 39216
Phone (601) 397-9373

Interoperability endpoints

  • Direct secure messaging: vmoore10@direct.iuhealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1366827511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 ENGLISH IVEY LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442994",
            "telephone_number": "404-226-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD STE 320",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035683",
            "telephone_number": "310-566-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VERRETTA",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95014499",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN200447",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC009555",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95014499",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "907712",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71008674A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.