Individual provider Active NPI

Saabreenah Moore, APRN

  • Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1457085227
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2022028202 Issued in CT
Practice address
565 Vernon St
Manchester, CT 06042-2409
Phone
(860) 643-5151
NPI assigned
Jul 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022028202 CT Primary

Addresses

Primary practice location

565 Vernon St
Manchester, CT 06042-2409

Mailing address

565 Vernon St
Manchester, CT 06042-2498
Phone (860) 643-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20221101002608 CT Practitioner - Nurse Practitioner 7315314564 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians

Practice addresses (Care Compare)

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022028202CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Pacs 2 PC CurrentSince Oct 10, 2022 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 1, 2025 Accepting new patients
HDC Care Solutions, LLC Nurse Practitioner CurrentSince Aug 22, 2024 Accepting new patients
Careconnectmd Connecticut PC CurrentSince Aug 23, 2024 Accepting new patients
Connecticut Post Acute Medical Services 1 PC CurrentSince Oct 10, 2022 Accepting new patients
Healthdrive Medical Services Southeast LLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Harvest Healthcare LLC Nurse Practitioner CurrentSince Apr 4, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

565 Vernon St
Manchester, CT 06042
Phone (860) 377-7773

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1457085227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 VERNON ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422498",
            "telephone_number": "860-643-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 VERNON ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422409",
            "telephone_number": "860-643-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SAABREENAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "2022028202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.