Anise Moore

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R068904 Issued in AR

Practice address

403 Lord LN
Mountain View, AR 72560-8977

Phone

(870) 213-7061

NPI assigned

Aug 18, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Moore DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Mountain View, AR
  • NPI 1255888095
  NPD (past) Authorized official

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1437525011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 COUNTY ROAD 73",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725199137",
            "telephone_number": "870-297-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 LORD LN",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725608977",
            "telephone_number": "870-213-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R068904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell's Main Street Pharmacy LTC, Inc
• Mitchell's Main Street Pharmacy, Inc (Mitchell's Main Street Pharmacy)
• Karla Mixon
• Elizabeth Mizell
• Moore DME LLC
• Heather Morgan
• Michael Morgan
• Sawyer Morrison
• Brooke Carlson Morrow
• Donna L Morse, LCSW

• Registered Nurse in Mountain View, AR
• Providers in Mountain View, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.