Active NPI
Michele Frances Moore, APRN-NNP
- Neonatal Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 2014033135
- Practice address
- 2401 Gillham Rd
Kansas City, MO 64108-4619 - Phone
- (816) 234-3000
- NPI assigned
- Nov 9, 2010
- Last updated
- Oct 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 76585 | KS | |
| Neonatal Nurse Practitioner | 363LN0000X | 2014033135 | MO | Primary |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 111097 | NE |
Addresses
Primary practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Mailing address
2401 Gillham Rd
Provider Enrollment
Kansas City, MO 64108-4619
Phone (816) 701-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76585 | KS | MD | Nurse Practitioner |
| 2014033135 | MO | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Nurse Practitioner | Current | Accepting new patients |
| Bryan Physician Network | Past | Accepting new patients |
Locations
707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000
8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104
987400 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-3405
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
Interoperability endpoints
- mmoore124059@hisp.bryanhealth.org
- mmoore94094@direct.nebraskamed.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1689628372
Nurse Practitioner
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1679528798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1447551387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"address_2": "PROVIDER ENROLLMENT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-701-5200",
"fax_number": "816-302-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-234-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MICHELE",
"middle_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "APRN-NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-09",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "76585",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MO",
"license": "2014033135",
"primary": true
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "NE",
"license": "111097",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.