Active NPI
Moore Medical Clinic Inc
- Family Nurse Practitioner
- Murfreesboro, TN
National Provider Identifier
1699183756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7533
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7533 | TN | Primary |
| Gerontology Nurse Practitioner | 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 DirectoryNPI 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.