Deandra Kay Moore, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-079581 Issued in AL

Practice address

1325 Quintard Ave
Anniston, AL 36201

Phone

(256) 741-1339

Fax

(256) 741-1356

NPI assigned

Jun 13, 2012

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

Other names 1

• Deandra Kay Beck Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cheaha Area Regional Emergency SpecialistsGroup PAC ID 6103843354, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cheaha Area Regional Emergency Specialists

  • Family Medicine Physician
  • Anniston, AL
  • NPI 1871656223
  Medicare reassignment Care Compare group NPD

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

• The Health Care Authority of the City of Anniston

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Care Compare affiliation

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1659633717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 QUINTARD AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36201",
            "telephone_number": "256-741-1339",
            "fax_number": "256-741-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 QUINTARD AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36201",
            "telephone_number": "256-741-1339",
            "fax_number": "256-741-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEANDRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-079581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANDRA",
            "last_name": "BECK",
            "middle_name": "KAY",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Louise Moersch, MD
• Mohammad Kamran
• Monet Salon and Day Spa
• Monica Handy Crawford, MD, LLC
• Danny Earl Montgolf, CRNA
• Jennifer Moore, CRNP
• Justin Moore, PHARM. D.
• Lydia Michelle Moore, LPC
• Gary Herschel Morgan, M.D.
• Lacy Brianne Morgan, RBT

• Nurse Practitioner in Anniston, AL
• Providers in Anniston, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.

Verify at the official NPI Registry.