Martha Susan Moore, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R0058176 Issued in OK

Practice address

314 E Owen K Garriott Rd
Enid, OK 73701

Phone

(580) 233-8315

Fax

(580) 233-9441

NPI assigned

Jan 22, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1497932404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73701",
            "telephone_number": "580-233-8315",
            "fax_number": "580-233-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73701",
            "telephone_number": "580-233-8315",
            "fax_number": "580-233-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARTHA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0058176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Montuori
• Melissa N Moore-Colvert, PA
• Bobby E Moore, DDS
• Glenda A Moore
• Jaymie Moore, APRN
• Rachel Moore
• Shari Lynn Moore, LCSW
• William A Moore, M.D.
• Dennis P. Morehart, DDS
• Jennifer Moreland, DNP

• Registered Nurse in Enid, OK
• Providers in Enid, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.