Jennifer E Moore, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD026653 Issued in TN

Practice address

100 Springhouse CT
Suite 100
Hendersonville, TN 37075-1609

Phone

(615) 826-2080

Fax

(615) 822-3213

NPI assigned

Jan 18, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12020/brand/1/csg/1/fhir/r4
• Direct secure messaging: jennifer.moore@tnpeds.eclinicaldirectplus.com
• Direct secure messaging: jennifer.moore.1@31800.direct.athenahealth.com

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.

• Grace Pediatrics PLLC

  • Pediatrics Physician
  • Smyrna, TN
  • NPI 1467781690

  Pediatrics

  NPD (past)
• Tennessee Pediatrics P.C.

  • Pediatrics Physician
  • Hendersonville, TN
  • NPI 1013182260

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1508919358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRINGHOUSE CT",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751609",
            "telephone_number": "615-826-2080",
            "fax_number": "615-822-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRINGHOUSE CT",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751609",
            "telephone_number": "615-826-2080",
            "fax_number": "615-822-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD026653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3097270",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MLM Senior Services, LLC
• David Arnold Montgomery III, M.D.
• William A Montgomery
• Emily Rose Moody, OD
• Lauren Ann Moody
• John Riley Moore, RPH
• Julie Moore
• Megan Wilson Moore, M.S., BCBA
• Anne E Moorman, OTR/L
• John Christian Moreaux

• All providers in Hendersonville, TN
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.