Christine Moe, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4960 Issued in AZ

Practice address

20325 N 51St Ave
Glendale, AZ 85308-5674

Phone

(623) 249-4928

Fax

(623) 249-4971

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmoe479322@direct.honorhealth.com

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.

• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1740273614
  Medicare reassignment Care Compare group NPD
• Honorhealth-Fastmed Ambulatory Holdings LLC

  dba HonorHealth FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Surprise, AZ
  • NPI 1467069047
  Medicare reassignment NPD
• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1700423415
  NPD
• Honorhealth-Fastmed Ambulatory Holdings LLC

  dba HonorHealth FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Glendale, AZ
  • NPI 1144837766
  NPD
• Honorhealth-Fastmed Ambulatory Holdings LLC

  dba HonorHealth FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1801403480
  NPD
• Banner -- University Primary Care Physicians LLC

  • Primary Care Clinic/Center
  • Payson, AZ
  • NPI 1154791960
  NPD (past)
• Presentation Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Rolla, ND
  • NPI 1619033917
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1467715763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085674",
            "telephone_number": "623-249-4928",
            "fax_number": "623-249-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085674",
            "telephone_number": "623-249-4928",
            "fax_number": "623-249-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "CHRISTINE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R27639",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Dental Professionals-Arizona PC (Brightnow Peoria)
• Modern Optometry LLC
• Modern Vascular of Glendale, LLC
• Neil Mody, MD
• Puja Rashmi Mody
• Paula Kay Moen, R.N.
• Megan Mock Moening, OT
• Phillip M Moeser, MD
• Jillian Alyse Moffitt
• Wassim Mohamad-Said, DO

• Family Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.