Cooper J Moore

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

224190 Issued in LA

Practice address

7777 Hennessy Blvd Ste 301
Baton Rouge, LA 70808-0319

Phone

(225) 214-6436

NPI assigned

Feb 7, 2022

Sex

Male

Sole proprietor

Yes

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 LA

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

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020

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.

• Wound Care Associates LLC

  • Specialist
  • Hammond, LA
  • NPI 1568793750
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District 1 of East Baton Rouge Parish

  • Endoscopy Clinic/Center
  • Zachary, LA
  • NPI 1255080503

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • General Acute Care Hospital
  • Zachary, LA
  • NPI 1376591941
  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • Psychiatry Physician
  • Zachary, LA
  • NPI 1679466577

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • Allergy & Immunology Physician
  • Zachary, LA
  • NPI 1740061076

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • Gastroenterology Physician
  • Zachary, LA
  • NPI 1952878506

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • Dermatology Physician
  • Zachary, LA
  • NPI 1992477111

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1699429951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 301",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708080319",
            "telephone_number": "225-214-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 301",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708080319",
            "telephone_number": "225-214-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "COOPER",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brea Shanice Moore
• Brielle Armani Moore, MA FAMILY THERAPY
• Charlotta Loretta Moore
• Cheryl Ann Moore
• Cleola Moore, LPC, LMFT
• Daniel Joseph Moore, MD
• Davonne Moore
• Deasia Moore, BSW
• Deidra M Moore, RN
• Donald A Moore, DDS

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.