Liza Moore

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704291236 Issued in MI

Practice address

1055 South Blvd E Ste 100
Rochester Hills, MI 48307-5465

Phone

(248) 844-2936

NPI assigned

Feb 22, 2018

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

Medicare fee-for-service enrollment

Enrolled in MI

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

Credentials

Nurse Practitioner

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.

• Ear Nose and Throat Consultants PC

  • Specialist
  • Southfield, MI
  • NPI 1053484048

  MI

  Medicare reassignment Care Compare group NPD

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose and Throat Consultants PC 30 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1669973079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 SOUTH BLVD E STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075465",
            "telephone_number": "248-844-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SOUTH BLVD E STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075465",
            "telephone_number": "248-844-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704291236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Monette, M.A.
• Thomas M. Monks, D.D.S.
• Deborah Monroe, CPSS
• Aimee Monticello, LMSW
• Ashleigh Mooney, MED, LPC
• Colt Joseph Moran, MD
• Laverne Marie Moren, LMSW,ACSW
• Isabela Moreno
• Dale Arthur Morgan, DC
• Joseph Morgan, M.D.

• All providers in Rochester Hills, MI
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.