Active NPI
Amber Gaye Moore
- Registered Nurse
- Newburgh, IN
National Provider Identifier
1598038291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28179507A
- Practice address
- 4007 Gateway Blvd
Suite 100
Newburgh, IN 47630-8947 - Phone
- (812) 842-0907
- NPI assigned
- Feb 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28179507A | IN | Primary |
Addresses
Primary practice location
4007 Gateway Blvd
Suite 100
Newburgh, IN 47630-8947
Mailing address
4007 Gateway Blvd
Suite 100
Newburgh, IN 47630-8947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28179507A | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329004800000",
"number": "1598038291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 GATEWAY BLVD",
"address_2": "SUITE 100",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4007 GATEWAY BLVD",
"address_2": "SUITE 100",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308947",
"telephone_number": "812-842-0907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "AMBER",
"middle_name": "GAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-12",
"last_updated": "2012-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28179507A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.