Active NPI
Catrina Tia Moore, PA-C
- Physician Assistant
- Barksdale Afb, LA
National Provider Identifier
1467879973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-04914
- Practice address
- 2D Medical Group
243 Curtiss Road, Suite 100
Barksdale Afb, LA 71110-2425 - Phone
- (318) 456-6555
- NPI assigned
- Mar 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-04914 | NC | Primary |
Addresses
Primary practice location
2D Medical Group
243 Curtiss Road, Suite 100
Barksdale Afb, LA 71110-2425
Mailing address
2600 N Elm St
Lumberton, NC 28358-3011
Phone (910) 272-3051
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-04914 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1467879973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N ELM ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283583011",
"telephone_number": "910-272-3051",
"fax_number": "910-738-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2D MEDICAL GROUP",
"address_2": "243 CURTISS ROAD, SUITE 100",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102425",
"telephone_number": "318-456-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CATRINA",
"middle_name": "TIA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-21",
"last_updated": "2025-03-07",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barksdale Afb, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.