Individual provider Active NPI

Ashon G Moore Sr., RRT

  • Registered Respiratory Therapist
  • Fort Pierce, FL
National Provider Identifier
1699032409
Registry record updated Apr 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RT10049 Issued in FL
Practice address
3206 Anderson Dr
Fort Pierce, FL 34946-1617
Phone
(772) 332-9672
Fax
(772) 409-4413
NPI assigned
Apr 18, 2012
Last updated
Apr 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RT10049 FL Primary

Addresses

Primary practice location

3206 Anderson Dr
Fort Pierce, FL 34946-1617

Mailing address

3206 Anderson Dr
Fort Pierce, FL 34946-1617
Phone (772) 332-9672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT10049FLMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe a New Life Inc Respiratory Therapist, Registered Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428710400000",
    "number": "1699032409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 ANDERSON DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349461617",
            "telephone_number": "772-332-9672",
            "fax_number": "772-409-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 ANDERSON DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349461617",
            "telephone_number": "772-332-9672",
            "fax_number": "772-409-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ASHON",
        "middle_name": "G",
        "name_suffix": "Sr.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2015-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RT10049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.