Individual provider Active NPI

Tischina Chanel Moore, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1629614706
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144107 Issued in TX
Practice address
560 Meyerland Plaza Mall
Houston, TX 77096-1615
Phone
(713) 442-3222
NPI assigned
Nov 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144107 TX Primary

Addresses

Primary practice location

560 Meyerland Plaza Mall
Houston, TX 77096-1615

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other names 1

  • Tischina C Moore Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718003601 TX Practitioner - Nurse Practitioner 7810378122 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelsey-Seybold Medical Group, PLLCGroup PAC ID 9739093527, 941 clinicians

Practice addresses (Care Compare)

560 Meyerland Plaza Mall
Houston, TX 77096-1615
Phone (713) 442-3222

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC Family Medicine CurrentSince Aug 25, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Nov 16, 2022 Accepting new patients
Beyond the Lotus Sex Healthcare Management, PLLC Family Current Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Nov 16, 2022 Accepting new patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Providence Physician Associates CurrentSince Jun 1, 2022 Accepting new patients
Brazos Medical Center Family Medicine Past Accepting new patients

Locations

444 FM 1959 Rd
Ste A
Houston, TX 77034
Phone (281) 481-9400

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

560 Meyerland Plaza Mall
Houston, TX 77096
Phone (713) 442-3200

18220 Tomball Pkwy
Ste 290
Houston, TX 77070
Phone (281) 807-6800

6302 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (832) 831-9094

520 Gulfgate Center Mall
Houston, TX 77087
Phone (713) 442-3700

201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

3525 Broadway St
Ste 107
Pearland, TX 77581
Phone (281) 823-7377

250 Blossom St
Ste 210
Webster, TX 77598
Phone (281) 316-1119

Interoperability endpoints

  • Direct secure messaging: tmoore203667@direct.kelsey-seybold.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1629614706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MEYERLAND PLAZA MALL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961615",
            "telephone_number": "713-442-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TISCHINA",
        "middle_name": "CHANEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TISCHINA",
            "last_name": "MOORE",
            "middle_name": "C",
            "credential": "APRN, FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.