Individual provider Active NPI

Lynnette Moore, M.D.

  • Family Medicine Physician
  • Norfolk, VA
National Provider Identifier
1669535951
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101054405 Issued in VA
Practice address
7525 Tidewater Dr Ste 19
Norfolk, VA 23505-3700
Phone
(757) 330-0150
Fax
(877) 487-3044
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101054405 VA Primary

Addresses

Primary practice location

7525 Tidewater Dr Ste 19
Norfolk, VA 23505-3700

Mailing address

7525 Tidewater Dr Ste 19
Norfolk, VA 23505-3700
Phone (757) 330-0150

Other practice location 1

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lynnette.moore.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131120001043 VA Practitioner - Family Practice 9537306444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Primary Care LLC 62 clinicians
Centerwell Senior Primary Care VA PLLC 41 clinicians

Practice addresses (Care Compare)

102 Fairview Dr
Franklin, VA 23851-1206

3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225

7525 Tidewater Dr
Suite 19
Norfolk, VA 23505-3700
Phone (757) 330-0150

Hospital & facility affiliations

  • Bon Secours Southampton Memorial Hospital Hospital, Franklin, VA, CCN 490092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101054405VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care VA PLLC Family Medicine Current Accepting new patients
Bon Secours Medical Group Hampton Roads Primary Care LLC CurrentSince Oct 19, 2025 Accepting new patients
Centerwell Senior Primary Care VA PLLC Family Medicine CurrentSince Dec 9, 2024 Accepting new patients
Centerwell Senior Primary Care VA PLLC Family Medicine CurrentSince Dec 9, 2024 Accepting new patients
Centerwell Senior Primary Care VA PLLC Family Medicine Past Accepting new patients
Centerwell Senior Primary Care VA PLLC Family Medicine Past Accepting new patients

Locations

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

7525 Tidewater Dr
Ste 19
Norfolk, VA 23505
Phone (757) 330-0150

3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225

8191 Brook Rd
Ste Mn
Richmond, VA 23227
Phone (804) 596-5320

4421 Virginia Beach Blvd
Ste 114
Virginia Beach, VA 23462
Phone (757) 738-1300

828 Healthy Way
Ste 220
Virginia Beach, VA 23462
Phone (757) 305-1797

Interoperability endpoints

  • Direct secure messaging: lynnette.moore.1@29601.direct.athenahealth.com

Organizations & group practices 6

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.

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1669535951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 TIDEWATER DR STE 19",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053700",
            "telephone_number": "757-330-0150",
            "fax_number": "877-487-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 TIDEWATER DR STE 19",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053700",
            "telephone_number": "757-330-0150",
            "fax_number": "877-487-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LYNNETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101054405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lynnette.moore.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7525 Tidewater Dr Ste 19",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235053700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.