Suzanne Leslie Moore, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

265898-1 Issued in NY

Practice address

240 Meeting House LN
Southampton, NY 11968-5009

Phone

(631) 726-8360

NPI assigned

Jan 29, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548306228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SWAN HILL RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119682208",
            "telephone_number": "631-283-3449",
            "fax_number": "631-287-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685009",
            "telephone_number": "631-726-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUZANNE",
        "middle_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "265898-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sony Ann Modayil, DO
• Areej Moghni, DO
• Andrey Moiseyenko, DO
• Forough B Mokhtari, MD
• James Arthur Moore, M.D.
• Teiah Moore, D.O.
• Angela Maria Morales
• Patricia Blanche Morrison-Sasso, NP
• Patricia June Mott-Intermaggio, RLCSW, CASAC
• Stephanie Nicole Mueller

• Registered Nurse First Assistant in Southampton, NY
• Providers in Southampton, NY by specialty
• Registered Nurse First Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.