Individual provider Active NPI

William Moore

  • Family Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1487092276
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP003050 Issued in LA
Practice address
1245 Glenwood Dr
West Monroe, LA 71291-5539
Phone
(318) 388-1144
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP003050 LA Primary

Addresses

Primary practice location

1245 Glenwood Dr
West Monroe, LA 71291-5539

Mailing address

1245 Glenwood Dr
West Monroe, LA 71291-5539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20130827000682 LA Practitioner - Nurse Practitioner 7517100365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1903 N 7TH St
West Monroe, LA 71291-4415
Phone (318) 478-9141

Hospital & facility affiliations

  • Allegiance Home Health of Northeast la Home health agency, West Monroe, LA, CCN 197550
  • Alphacare Home Health, Inc. Home health agency, Monroe, LA, CCN 197491
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
  • Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Moore Family Nurse Practitioner, LLC Family CurrentSince Apr 1, 2020 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Wound Ostomy Care Clinic LLC Family Past Accepting new patients

Locations

100 Westland Pl
Ste A
West Monroe, LA 71291
Phone (318) 314-2308

1903 N 7th St
West Monroe, LA 71291
Phone (318) 325-1087

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1487092276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 GLENWOOD DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 GLENWOOD DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915539",
            "telephone_number": "318-388-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "TAP003050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.