Individual provider Active NPI

Hayden Moore, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1538680939
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011467 Issued in KY
Practice address
1221 S Broadway
Lexington, KY 40504-2701
Phone
(859) 258-4000
NPI assigned
Jul 6, 2017
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11001495 FL
Family Nurse Practitioner 363LF0000X 3011467 KY Primary
Nephrology Physician 207RN0300X 3011467 KY

Addresses

Primary practice location

1221 S Broadway
Lexington, KY 40504-2701

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other practice location 1

3229 Summit Square Pl Ste 240
Lexington, KY 40509-2664
Phone (859) 263-1717

Other practice location 2

3229 Summit Square Pl Ste 240
Lexington, KY 40509-2664
Phone (859) 263-1717

Other practice location 3

209 N Maysville St Ste 200
Mount Sterling, KY 40353
Phone (859) 404-7686

Other identifiers 1

IdentifierTypeStateIssuer
7100540950MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170829000192 KY Practitioner - Nurse Practitioner 5294008108 Reassigns benefits to 6 organizations
I20191014002495 FL Practitioner - Nurse Practitioner 5294008108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11001495FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical Associates of Tampa Bay, LLC Single Specialty CurrentSince Jan 19, 2020 Accepting new patients
Man O War Urgent Care LLC Single Specialty CurrentSince Jul 15, 2025 Accepting new patients
Lexington Urgent Care PLLC Single Specialty CurrentSince Jul 15, 2025 Accepting new patients
Onan Chiropractic PLLC Single Specialty CurrentSince Jul 15, 2025 Accepting new patients
New Lexington Clinic PSC CurrentSince Aug 4, 2025 Accepting new patients
Bluegrass Renal Care, PSC Single Specialty CurrentSince Jul 23, 2017 Accepting new patients
Observation Medical Group LLC Single Specialty CurrentSince Oct 10, 2024 Accepting new patients
New Lexington Clinic, PSC Single Specialty CurrentSince Aug 4, 2025 Accepting new patients
Georgetown Urgent Care PLLC Single Specialty CurrentSince Jul 15, 2025 Accepting new patients
Berea Urgent Care LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Observation Medical Group LLC Single Specialty CurrentSince Oct 10, 2024 Accepting new patients
Bluegrass Renal Care, PSC PastSince Jul 21, 2024 Accepting new patients
Florida Em-I Medical Services PA Single Specialty Past Accepting new patients
New Lexington Clinic, PSC Past Accepting new patients

Locations

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

4501 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (813) 870-4000

234 Brenwood St
Berea, KY 40403
Phone (859) 985-0302

111 Osborne Way
#101
Georgetown, KY 40324
Phone (859) 466-8956

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

1701 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 466-8956

3229 Summit Square Pl
Ste 240
Lexington, KY 40509
Phone (502) 867-0411

4097 Nichols Park Dr
Ste 108
Lexington, KY 40503
Phone (859) 245-2273

197 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 523-5310

432 Lexington Rd
Versailles, KY 40383
Phone (859) 523-5310

Interoperability endpoints

  • Direct secure messaging: hmoore1250375@direct.hopkinsmedicine.org
  • Direct secure messaging: hmoore454600@direct.stlukeshealth.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1538680939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3229 Summit Square Pl Ste 240",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092664",
            "country_code": "US",
            "telephone_number": "859-263-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3229 Summit Square Pl Ste 240",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092664",
            "country_code": "US",
            "telephone_number": "859-263-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 N Maysville St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mount Sterling",
            "state": "KY",
            "postal_code": "40353",
            "country_code": "US",
            "telephone_number": "859-404-7686",
            "fax_number": "859-498-8160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HAYDEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001495",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011467",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "3011467",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100540950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.