Ciara Lynne Moore, FNP-BC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0024190602 Issued in VA

Practice address

10721 Grub Hill Church Rd
Amelia Court House, VA 23002-4934

Phone

(804) 921-5655

NPI assigned

Jul 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ciara Hale Former name

Medicare fee-for-service enrollment

Enrolled in VA

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geriatric Associates of Richmond IncGroup PAC ID 4789026071, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Geriatric Associates of Richmond Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Glen Allen, VA
  • NPI 1891559597
  Medicare reassignment Care Compare group NPD
• Express Med Urgent Care Center, Inc

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1225187446
  NPD (past)

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1497583249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 GRUB HILL CHURCH RD",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 GRUB HILL CHURCH RD",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024934",
            "telephone_number": "804-921-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CIARA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024190602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CIARA",
            "last_name": "HALE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kasey Cotterman
• James Smith Kilbreath II, DPT
• Shannon Marie Lafountain, LPTA
• George William Lefoy Jr., PHARMACIST
• Camilla Faye Lewis
• Christa E. Morris, D.D.S.
• Robin Nelson, PTA
• Open Arms Adult Center
• Open Arms Day Center
• Open Arms Day Center

• Family Medicine Physician in Amelia Court House, VA
• Providers in Amelia Court House, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.