Courtlyn Moore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

349248 Issued in LA

Practice address

3939 Houma Blvd Ste 18
Metairie, LA 70006-2921

Phone

(504) 300-9019

NPI assigned

Aug 26, 2025

Last updated

Nov 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: courtlyn.moore.pa-c.1@8550.direct.athenahealth.com

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1659259521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD STE 18",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062921",
            "telephone_number": "504-300-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD STE 18",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062921",
            "telephone_number": "504-300-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "COURTLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "349248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette M Montgomery
• Savannah Montgomery
• Rodolfo Antonio Montiel Quintero, MD
• Aryel Moore
• Beau Moore
• Esperanza Lillian Moore
• Martecha Moore
• Melanie Moore, LPC
• Taylor Moore
• Melinda Moorhead

• Physician Assistant in Metairie, LA
• Providers in Metairie, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.