Organization Active NPI

Moore Medical Clinic Inc

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1699183756
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7533 Issued in TN
Legal business name
MOORE MEDICAL CLINIC INC
Practice address
490 Saint Andrews Dr
Suite 106
Murfreesboro, TN 37128-6578
Phone
(615) 896-4482
Fax
(615) 896-4472
NPI assigned
Aug 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Timothy Moore, NP
Title
President
Phone
(615) 896-4482

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 7533 TN Primary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X 7885 TN

Addresses

Primary practice location

490 Saint Andrews Dr
Suite 106
Murfreesboro, TN 37128-6578

Mailing address

490 Saint Andrews Dr
Suite 106
Murfreesboro, TN 37128-6578
Phone (615) 896-4482

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1699183756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 SAINT ANDREWS DR",
            "address_2": "SUITE 106",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286578",
            "telephone_number": "615-896-4482",
            "fax_number": "615-896-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 SAINT ANDREWS DR",
            "address_2": "SUITE 106",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286578",
            "telephone_number": "615-896-4482",
            "fax_number": "615-896-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-896-4482",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7533",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "7885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.