Individual provider Active NPI

Jennifer Lynn Moye, APRN

  • Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1609087048
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN2830922 Issued in FL
Practice address
600 Peter Jefferson Pkwy Ste 230
Charlottesville, VA 22911-8835
Phone
(434) 984-2400
Fax
(434) 984-1147
NPI assigned
May 25, 2007
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN2830922 FL Primary

Addresses

Primary practice location

600 Peter Jefferson Pkwy Ste 230
Charlottesville, VA 22911-8835

Mailing address

600 Peter Jefferson Pkwy Ste 230
Charlottesville, VA 22911-8835
Phone (434) 984-2400

Other practice location 1

5210 Webb Rd
Tampa, FL 33615-4518
Phone (813) 882-9986

Other practice location 2

13910 Fivay Rd Ste 5
Hudson, FL 34667-7130
Phone (727) 259-7930

Other identifiers 1

IdentifierTypeStateIssuer
012344500MedicaidFL

Other names 1

  • Jennifer Lynn Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2830922FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charlottesville Dermatology CurrentSince Jul 28, 2024 Accepting new patients
Academic Alliance in Dermatology, PLLC CurrentSince Jun 15, 2021 Accepting new patients
Christopher G. Nelson, M.D., P.a. Past Accepting new patients

Locations

13910 Fivay Rd
Ste 5
Hudson, FL 34667
Phone (727) 259-7930

5210 Webb Rd
Tampa, FL 33615
Phone (813) 882-9986

600 Peter Jefferson Pkwy
Ste 230
Charlottesvle, VA 22911
Phone (434) 984-2400

Interoperability endpoints

  • Direct secure messaging: jmoye@directaddress.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1609087048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 230",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118835",
            "telephone_number": "434-984-2400",
            "fax_number": "434-984-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 230",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118835",
            "telephone_number": "434-984-2400",
            "fax_number": "434-984-1147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5210 Webb Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154518",
            "country_code": "US",
            "telephone_number": "813-882-9986",
            "fax_number": "813-882-9849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13910 Fivay Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346677130",
            "country_code": "US",
            "telephone_number": "727-259-7930",
            "fax_number": "727-935-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN2830922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012344500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MOORE",
            "middle_name": "LYNN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.