Alisha Marie Moore

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-116590 Issued in AL

Practice address

100 Rice Mine Rd N Ste B
Tuscaloosa, AL 35406-2375

Phone

(205) 349-4200

NPI assigned

Jun 27, 2017

Last updated

Dec 8, 2022By the provider in NPPES

Sex

Female

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 AL

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Associates of Tuscaloosa, PCGroup PAC ID 6800813957, 9 clinicians

Ear Nose and Throat Associates ofGroup PAC ID 0042436644, 4 clinicians

Northside Primary Care LLCGroup PAC ID 5799143822, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092
• Fayette Medical Center Hospital, Fayette, AL, CCN 010045

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alisha.moore.1@31138.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FCICCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Internal Medicine Associates of Tuscaloosa, PC

  • Internal Medicine Physician
  • Tuscaloosa, AL
  • NPI 1225146004
  Medicare reassignment Care Compare group NPD
• Northside Primary Care LLC

  • Family Nurse Practitioner
  • Northport, AL
  • NPI 1922716018
  Medicare reassignment Care Compare group NPD
• Ear Nose and Throat Associates of

  • Otolaryngology/Facial Plastic Surgery Physician
  • Tuscaloosa, AL
  • NPI 1063838167
  Medicare reassignment Care Compare group
• Internal Medicine Associates of Tuscaloosa, P.C.

  dba Novus TMS Imat

  • Neurology Physician
  • Tuscaloosa, AL
  • NPI 1598414880
  NPD

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

• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836
  Care Compare affiliation
• The DCH Health Care Authority

  dba DCH Health & Wellness Clinic

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  dba DCH Outpatient Services

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  dba DCH Regional Medical Center

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418
  Care Compare affiliation

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1710407150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 VIC GREEN RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754964",
            "telephone_number": "205-792-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062375",
            "telephone_number": "205-349-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALISHA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-116590",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "630900428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Kay Moody, PHD, DNP, APRN-BC
• Delina C Moon, CRNP
• Poppy Kimberly Moon, PH.D., NCC, LPC
• Cynthia Moore-Sledge, MD
• Aliah Elizabeth Moore, MD
• Amy Moore, CRNP
• Braden Moore
• Casey Elizabeth Moore, RN, MSN, FNP-C
• Charles Daniel Moore, CRNP
• Karen Stacy Moore, MD

• Family Nurse Practitioner in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.