Heather Colleen Moore, RNFA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

684156 Issued in CA

Practice address

16250 Sand Canyon Ave
Irvine, CA 92618-3714

Phone

(949) 727-5010

NPI assigned

May 23, 2017

Last updated

Mar 17, 2018By the provider in NPPES

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 names 1

• Heather Colleen Rodriguez Former name

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568990489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MONTE VIS",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022003",
            "telephone_number": "559-301-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 SAND CANYON AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183714",
            "telephone_number": "949-727-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16250 Sand Canyon Ave",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183714",
            "country_code": "US",
            "telephone_number": "949-727-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HEATHER",
        "middle_name": "COLLEEN",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "684156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "RODRIGUEZ",
            "middle_name": "COLLEEN",
            "credential": "RNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea C Moore, DDS
• Barbara C. Moore, M.A., CCC-SLP
• Candace Marie Moore, MFT
• Clayton Moore
• Cody Michael Moore, OT
• Jonathan P Moore
• Jonathan Sidney Moore
• Katherine Moore, PSYD
• Nathaniel Lewis Moore, LMFT
• Robert W. Moore, DC

• Surgery Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.