Active NPI
Jessica Moore, M.D.
- Pediatrics Physician
- Friendswood, TX
National Provider Identifier
1598080970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R3384
- Practice address
- 1506 E Winding Way Dr Ste 604
Friendswood, TX 77546-5391 - Phone
- (832) 569-2183
- Fax
- (832) 569-2171
- NPI assigned
- Mar 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E-7945 | AR | |
| Pediatrics Physician | 208000000X | R3384 | TX | Primary |
Addresses
Primary practice location
1506 E Winding Way Dr Ste 604
Friendswood, TX 77546-5391
Mailing address
2407 Pine Dr
Friendswood, TX 77546-5542
Phone (832) 569-2183
Other practice location 1
1 Childrens Way
Slot 512-9
Little Rock, AR 72202-3500
Phone (501) 364-5358
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3384 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eating Recovery Center of Texas | Past | Accepting new patients | |
| Pediatric Urgent Care PA | Pediatrics | Past | Accepting new patients |
| Goodside Health Medical, PLLC | Pediatrics | Past | Accepting new patients |
| Goodside Health Medical, PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Eating Recovery Center of Ft. Worth
- Adult Mental Health Clinic/Center
- Fort Worth, TX
- NPI 1417446709
-
dba Urgent Care for Kids
- Urgent Care Clinic/Center
- The Woodlands, TX
- NPI 1598059776
Pediatrics
-
- Pediatrics Physician
- Albuquerque, NM
- NPI 1033972716
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1437888377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1598080970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 PINE DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775465542",
"telephone_number": "832-569-2183",
"fax_number": "832-569-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 E WINDING WAY DR STE 604",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775465391",
"telephone_number": "832-569-2183",
"fax_number": "832-569-2171"
}
],
"practiceLocations": [
{
"address_1": "1 Childrens Way",
"address_2": "Slot 512-9",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722023500",
"country_code": "US",
"telephone_number": "501-364-5358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "JESSICA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-7945",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "R3384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Friendswood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.