Christi L Moore, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1967 Issued in AZ

Practice address

5104 N 67TH Ave
Glendale, AZ 85301-6541

Phone

(602) 899-4404

NPI assigned

Jul 24, 2006

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 AZ

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

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compass Medical Center Safford PLLCGroup PAC ID 7012257892, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Compass Medical Center Safford PLLC

  • General Practice Physician
  • Safford, AZ
  • NPI 1114481876
  Medicare reassignment Care Compare group
• Compass Medical Center PLLC

  • General Practice Physician
  • Snowflake, AZ
  • NPI 1811387285
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1528080975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41638",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850801638",
            "telephone_number": "602-899-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016541",
            "telephone_number": "602-899-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTI",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "1967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377897",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Danielle Moody, CPT, CMA,DSP
• Allison Mackenzie Moore, MSOT, OTR/L
• Ann Christine Moore, FNP
• Carla Moore
• Casondra Moore, D.O.
• Jeanette D Moore, NP
• Jenna Moore
• Joan Lucille Moore, R.N.,BSN, MA
• Kyla Moore
• Lee Moore, PHARM D

• Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.