Active NPI
Sherry M Moore, CFNP
- Registered Nurse
- Selmer, TN
National Provider Identifier
1467567255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN027447
- Practice address
- One Prime Care Drive
Selmer, TN 38375 - Phone
- (731) 645-7932
- Fax
- (731) 645-5195
- NPI assigned
- Aug 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN05064 | TN | |
| Registered Nurse | 163W00000X | RN027447 | TN | Primary |
Addresses
Primary practice location
One Prime Care Drive
Selmer, TN 38375
Mailing address
One Prime Care Drive
Prime Care Medical Center
Selmer, TN 38375
Phone (731) 645-7932
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4038058 | Other | BLUE CROSS BLUE SHIELD | |
| 23178 | Other | TN | TLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN027447 | TN | MD | Registered Nurse |
| APN05064 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotts Hill Clinic, Inc. | Family | Past | Accepting new patients |
| Todd'S Discount Drugs Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21106/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Pharmacy
- Adamsville, TN
- NPI 1982773909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1467567255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE PRIME CARE DRIVE",
"address_2": "PRIME CARE MEDICAL CENTER",
"city": "SELMER",
"state": "TN",
"postal_code": "38375",
"telephone_number": "731-645-7932",
"fax_number": "731-645-5195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE PRIME CARE DRIVE",
"city": "SELMER",
"state": "TN",
"postal_code": "38375",
"telephone_number": "731-645-7932",
"fax_number": "731-645-5195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SHERRY",
"middle_name": "M",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN05064",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN027447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4038058",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC",
"identifier": "23178",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Selmer, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.