Individual provider Active NPI

Alvashtia P Moore, APRN

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1528216405
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8078 Issued in TN
Practice address
2 International PLZ Ste 602
Nashville, TN 37217-2028
Phone
(615) 367-8787
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN00000128007 TN
Nurse Practitioner 363L00000X 8078 TN Primary

Addresses

Primary practice location

2 International PLZ Ste 602
Nashville, TN 37217-2028

Mailing address

2 International PLZ Ste 602
Nashville, TN 37217-2028
Phone (615) 367-8787

Other practice location 1

7575 Cockrill Bend Blvd
Deberry Special Needs Facility
Nashville, TN 37209-1056
Phone (615) 350-2700 ext. 2732

Other practice location 2

355 Pleasant Grove Rd Ste 1400
MT Juliet, TN 37122-3942
Phone (615) 810-0941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210205001718 TN Practitioner - Nurse Practitioner 3577977313 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN00000128007TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Tennessee, PC CurrentSince Feb 1, 2021 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Feb 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jun 16, 2024 Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

355 Pleasant Grove Rd
Ste 1400
Mt Juliet, TN 37122
Phone (615) 773-7933

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1528216405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INTERNATIONAL PLZ STE 602",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172028",
            "telephone_number": "615-367-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INTERNATIONAL PLZ STE 602",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172028",
            "telephone_number": "615-367-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7575 Cockrill Bend Blvd",
            "address_2": "Deberry Special Needs Facility",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372091056",
            "country_code": "US",
            "telephone_number": "615-350-2700 x2732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Pleasant Grove Rd Ste 1400",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223942",
            "country_code": "US",
            "telephone_number": "615-810-0941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALVASHTIA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "RN00000128007",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "8078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.