Individual provider Active NPI

Karen Green Moore, WHNP

  • Women's Health Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1407248255
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP08227 Issued in LA
Practice address
4018 Magazine St
New Orleans, LA 70115-2749
Phone
(504) 897-9200
Fax
(404) 494-7433
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP08227 LA Primary
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN062095 LA

Addresses

Primary practice location

4018 Magazine St
New Orleans, LA 70115-2749

Mailing address

4600 Gulf Fwy
Houston, TX 77023-3548
Phone (713) 831-6554

Other identifiers 1

IdentifierTypeStateIssuer
2402439MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20180621001765 LA Practitioner - Nurse Practitioner 7911252531 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN062095LAMDAmbulatory Women's Health Care Registered Nurse
AP08227LAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Department of Health - Office of Public Health Current Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince May 1, 2018 Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince May 1, 2018 Accepting new patients
Planned Parenthood Gulf Coast, Inc. Past Accepting new patients

Locations

353 N 12th St
Baton Rouge, LA 70802
Phone (225) 242-4890

1029 Capitol Ave
Crowley, LA 70526
Phone (337) 788-7507

133 W 112th St
Cut Off, LA 70345
Phone (985) 632-5567

600 Polk St
Houma, LA 70360
Phone (985) 857-3601

843 Milling Ave
Luling, LA 70070
Phone (985) 785-5800

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

1200 David Dr
Morgan City, LA 70380
Phone (985) 380-2441

158 Highway 1008
Napoleonville, LA 70390
Phone (985) 369-6031

473 Central Ave
Reserve, LA 70084
Phone (985) 536-2128

2535 Veterans Blvd
Thibodaux, LA 70301
Phone (985) 447-0921

29170 Health Unit St
Vacherie, LA 70090
Phone (225) 265-2181

Interoperability endpoints

  • Direct secure messaging: karen.moore@ldhoph.directbygreenway.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1407248255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233548",
            "telephone_number": "713-831-6554",
            "fax_number": "713-535-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152749",
            "telephone_number": "504-897-9200",
            "fax_number": "404-494-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAREN",
        "middle_name": "GREEN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "AP08227",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "LA",
            "license": "RN062095",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2402439",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.