Amanda Moore, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.17614-NP Issued in OH

Practice address

10443 W Beier Rd
Oak Harbor, OH 43449-9548

Phone

(513) 404-7799

NPI assigned

Jul 24, 2015

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1659756294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10443 W BEIER RD",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434499548",
            "telephone_number": "513-404-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10443 W BEIER RD",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434499548",
            "telephone_number": "513-404-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17614-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell A Maringer, OD
• Danielle Ann McLaughlin
• Medi-Quip Repairs, LLC
• Kristen Meyer
• Mid County Joint Ambulance District
• Karla J Moore
• Marshall Moss
• Cheryl A Neill, L.P.N.
• Newheart Mental Health Group LLC
• Oak Harbor Dental Care

• Family Nurse Practitioner in Oak Harbor, OH
• Providers in Oak Harbor, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.