Active NPI
Shelby B Moore, FNP
- Family Nurse Practitioner
- Livingston, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 224079
- Practice address
- 28315 S Frost Rd
Livingston, LA 70754-2612 - Phone
- (225) 283-1356
- Fax
- (225) 686-2962
- NPI assigned
- Jan 28, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 224079 | LA | Primary |
Addresses
Primary practice location
28315 S Frost Rd
Livingston, LA 70754-2612
Mailing address
PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224079 | Other | LA | FNP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Metairie, LA 70001
Phone (769) 243-6141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hulin Urgent Care Services LLC | Current | Accepting new patients | |
| Hulin Urgent Care Services LLC | Current | Accepting new patients | |
| Healthcare Plus Limited Liability Company | Nurse Practitioner | Current | Accepting new patients |
| Wound Management Specialists, LLC | Nurse Practitioner | Current | Accepting new patients |
| Ahs Walk in Clinic Inc | Past | Accepting new patients |
Locations
600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720
3001 22nd St
Metairie, LA 70002
Phone (504) 949-0450
1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166
778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620
Organizations & group practices 5
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.
-
dba SouthStar Urgent Care
- Urgent Care Clinic/Center
- New Iberia, LA
- NPI 1699049262
-
dba Southstar Urgent Care
- Urgent Care Clinic/Center
- Rayne, LA
- NPI 1750055141
-
dba SouthStar Urgent Care
- Urgent Care Clinic/Center
- Youngsville, LA
- NPI 1639234495
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lane Endoscope Center
- Endoscopy Clinic/Center
- Zachary, LA
- NPI 1255080503
Hospital
-
dba Lane Regional Medical Center
- General Acute Care Hospital
- Zachary, LA
- NPI 1376591941
-
dba Lane Regional Medical Center - Lane Health & Wellness Clinic
- Psychiatry Physician
- Zachary, LA
- NPI 1679466577
Hospital
-
dba Lane Regional Medical Center - LANE ALLERGY ASTHMA AND IMMUNOLOGY
- Allergy & Immunology Physician
- Zachary, LA
- NPI 1740061076
Hospital
-
- Gastroenterology Physician
- Zachary, LA
- NPI 1952878506
Hospital
-
dba Lane Regional Medical Center-Lane Dermatology
- Dermatology Physician
- Zachary, LA
- NPI 1992477111
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1609529866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 395",
"city": "CLINTON",
"state": "LA",
"postal_code": "707220395",
"telephone_number": "225-683-5292",
"fax_number": "225-683-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28315 S FROST RD",
"city": "LIVINGSTON",
"state": "LA",
"postal_code": "707542612",
"telephone_number": "225-283-1356",
"fax_number": "225-686-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SHELBY",
"middle_name": "B",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "224079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP LICENSE",
"identifier": "224079",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livingston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.