Individual provider Active NPI

Bobbie Moore, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1659823516
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132401 Issued in TX
Practice address
3901A Spicewood Springs Rd Ste 201
Austin, TX 78759-8728
Phone
(737) 226-6700
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AP132401 TX Primary

Addresses

Primary practice location

3901A Spicewood Springs Rd Ste 201
Austin, TX 78759-8728

Mailing address

13355 N US Hwy 183
Apt 1120
Austin, TX 78750

Other practice location 1

200 E Cesar Chavez St
Suite G-140
Austin, TX 78701-4137
Phone (254) 724-8800

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
I20161221002042 TX Practitioner - Nurse Practitioner 9133400690 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health Medical Group LLC CurrentSince Jul 28, 2017 Accepting new patients
Austin Geriatric Specialists, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Hni Medical Services PastSince Jan 1, 2021 Accepting new patients

Locations

12201 Renfert Way
Ste 320
Austin, TX 78758
Phone (512) 467-2727

11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915

1108 Lavaca St
Ste 110320
Austin, TX 78701
Phone (512) 482-0390

3901A Spicewood Springs Rd
Ste 201
Austin, TX 78759
Phone (737) 226-6713

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659823516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13355 N US HWY 183",
            "address_2": "APT 1120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901A SPICEWOOD SPRINGS RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598728",
            "telephone_number": "737-226-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Cesar Chavez St",
            "address_2": "Suite G-140",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787014137",
            "country_code": "US",
            "telephone_number": "254-724-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BOBBIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.