Donna K Moore

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN0000044674 Issued in TN

Practice address

1755 Parr Ave
Dyersburg, TN 38024-2004

Phone

(731) 285-7311

NPI assigned

Feb 15, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1710020722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 PARR AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242004",
            "telephone_number": "731-285-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 PARR AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242004",
            "telephone_number": "731-285-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DONNA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000044674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-South Retina Associates, LLC
• Karen Milliner, PSY.D
• Miracles Network Agency
• Janet S.. Monroe, R.N.
• Molly Moody, SLP
• Leslie Corinne Moore, LPC
• Olyn Fred Moore III, MD
• Ramakant Mahadeo Mulay, MD
• Shree Ramakant Mulay, MD
• Laura M Mulvany, SLP

• Registered Nurse in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.