Faith Karen Moore, C-NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN31705-FNP-BC Issued in WV

Practice address

445 River Bend Estates Rd
Parsons, WV 26287-8101

Phone

(304) 478-2022

Fax

(304) 454-9690

NPI assigned

Nov 21, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1407839897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 RIVER BEND ESTATES RD",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262878101",
            "telephone_number": "304-478-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 RIVER BEND ESTATES RD",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262878101",
            "telephone_number": "304-478-2022",
            "fax_number": "304-454-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "FAITH",
        "middle_name": "KAREN",
        "credential": "C-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN31705-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00223942",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001436",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BCBS",
            "identifier": "001719917",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Mitchell
• Tiffanyann Mitchell
• Virginia Mitchell
• Stephanie Jo Moats
• Autumn Moore
• Stacy Moore
• Vera Vesta Moran
• Donna M Mullennex
• Angela D Myers
• Dora Grace Nelson

• Family Nurse Practitioner in Parsons, WV
• Providers in Parsons, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.