Individual provider Active NPI

Patricia A. Moore, N.P.

  • Primary Care Nurse Practitioner
  • Attleboro, MA
National Provider Identifier
1659395515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
135064 Issued in MA
Practice address
19 Sturdy St
Attleboro, MA 02703-3152
Phone
(508) 236-8384
Fax
(508) 236-8377
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 135064 MA Primary

Addresses

Primary practice location

19 Sturdy St
Attleboro, MA 02703-3152

Mailing address

19 Sturdy St
Attleboro, MA 02703-3152
Phone (508) 236-8384

Other identifiers 3

IdentifierTypeStateIssuer
51997OtherFALLON
NP2359OtherMAMABC
411500OtherRIBCHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060131000291 MA Practitioner - Nurse Practitioner 5092729905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Sturdy St
Attleboro, MA 02703-3152

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Health Inc CurrentSince Jan 1, 2007 Accepting new patients
Sturdy Health, Inc. CurrentSince Jan 1, 2007 Accepting new patients

Locations

100 Oneil Blvd
Attleboro, MA 02703
Phone (508) 342-1101

19 Sturdy St
Attleboro, MA 02703
Phone (508) 236-8390

28 Sturdy St
Attleboro, MA 02703
Phone (508) 226-7788

Organizations & group practices 2

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.

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659395515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 STURDY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033152",
            "telephone_number": "508-236-8384",
            "fax_number": "508-236-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 STURDY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033152",
            "telephone_number": "508-236-8384",
            "fax_number": "508-236-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "135064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "51997",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MABC",
            "identifier": "NP2359",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIBCHIP",
            "identifier": "411500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.