Randall Lee Moore, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN.0100115-CRNA Issued in CO

Practice address

900 Washington Rd
West Point, NY 10996-1109

Phone

(845) 938-3511

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia of the Rocky Mountains, LLCGroup PAC ID 7517155880, 10 clinicians

Novamed Surgery Center of Colorado Springs, LLCGroup PAC ID 5294625810, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Anesthesia of the Rocky Mountains, LLC

  • Anesthesiology Physician
  • Colorado Springs, CO
  • NPI 1245547850
  Medicare reassignment Care Compare group NPD
• Novamed Surgery Center of Colorado Springs LLC

  • Certified Registered Nurse Anesthetist
  • Colorado Springs, CO
  • NPI 1750794681

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Epix Anesthesia of Colorado Springs, LLC

  • Certified Registered Nurse Anesthetist
  • Colorado Springs, CO
  • NPI 1295008472

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Novamed Surgery Center of Denver LLC

  • Certified Registered Nurse Anesthetist
  • Englewood, CO
  • NPI 1639447154

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Peak Gastroenterology Associates

  • Gastroenterology Physician
  • Colorado Springs, CO
  • NPI 1023112117
  Medicare reassignment NPD
• Epix Anesthesia of Colorado Springs, LLC

  • Certified Registered Nurse Anesthetist
  • Colorado Springs, CO
  • NPI 1902589963

  Nurse Anesthetist, Certified Registered

  NPD
• Ramapo Anesthesiologists, PC

  • Anesthesiology Physician
  • Suffern, NY
  • NPI 1235151002
  NPD (past)
• Novamed Surgery Center of Colorado Springs, LLC

  • Ambulatory Surgical Clinic/Center
  • Colorado Springs, CO
  • NPI 1750386322
  NPD (past)
• Novamed Surgery Center of Denver LLC

  • Ambulatory Surgical Clinic/Center
  • Englewood, CO
  • NPI 1508862624
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1700845146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056B SHERBURNE PL",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961813",
            "telephone_number": "845-446-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961109",
            "telephone_number": "845-938-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RANDALL",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0100115-CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "650176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen McDermott, CLC
• Jillian McGovern, PHARMD
• Marguerite Mary McGuigan-Shuster, MD
• Patrick Miller
• Elliott Ilya Mitnik, D.O.
• Renee Morton
• Sergio Munoz, DDS, MS
• National Vision, Inc.
• Lindsay Newcomb
• Stacey Nichols, BCBA

• Certified Registered Nurse Anesthetist in West Point, NY
• Providers in West Point, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.