Dominique A Moore, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F06171138 Issued in TX

Practice address

2655 W Baker Rd
Baytown, TX 77521-2206

Phone

(281) 425-9205

NPI assigned

Jul 31, 2017

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

Medicare fee-for-service enrollment

Enrolled in TX

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Khan and Mujeeb PLLCGroup PAC ID 6305023169, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Khan and Mujeeb PLLC

  • Primary Care Clinic/Center
  • Baytown, TX
  • NPI 1750618070
  Medicare reassignment Care Compare group NPD

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

• San Jacinto Methodist Hospital

  • General Acute Care Hospital
  • Baytown, TX
  • NPI 1891789772
  Care Compare affiliation

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366966459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W BAKER RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212206",
            "telephone_number": "281-425-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W BAKER RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212206",
            "telephone_number": "281-425-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1658 W Baker Rd",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775212283",
            "country_code": "US",
            "telephone_number": "281-428-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DOMINIQUE",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F06171138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Francisco Montejo Castaneda, MA
• Lynda Celeste Montgomery, M.D.
• Leena M Moonnumakal, D.M.D.
• Andrea Graham Moore, M.ED, CCC-SLP
• Bufford D Moore, M.D.
• Tangela Moore
• Terry Wayne Moore, D.C.
• Annette Morales-Tymczak, LPC
• Joel Nieves Morcilla, FNP-C
• Nicole Moreno, FNP-BC

• Nurse Practitioner in Baytown, TX
• Providers in Baytown, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.