Suzanne F Moore, CALM

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

5801 Rayburn Dr
Fort Worth, TX 76133-3026

Phone

(682) 707-2524

Fax

(469) 660-0065

NPI assigned

Mar 16, 2020

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: suzanne@swverandaresidentialcares.com

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1710513239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 S BELT LINE RD STE 148",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514182",
            "telephone_number": "214-396-5288",
            "fax_number": "469-660-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 RAYBURN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333026",
            "telephone_number": "682-707-2524",
            "fax_number": "469-660-0065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Avon Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152002",
            "country_code": "US",
            "telephone_number": "682-252-4015",
            "fax_number": "469-660-0065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUZANNE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "CALM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "20553605",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Suzanne@SWVerandaresidentialcares.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5801 Rayburn Dr",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761333026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Suzanne@SWVerandaresidentialcares.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "3105 Avon Dr",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760152002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Joseph Moore, LCDC
• Phyllis Ann Moore, FNP
• Robert A Moore, CRNA
• Ryan Moore
• Samantha Germaine Moore, N.P.
• Sylvia Kaye Moore, WHNP
• Taylor Kelly Moore
• Tommy Earl Moore, MD
• Trevor Scott Moore, MD
• Tyler Moore, MD

• Adult Companion in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Adult Companion in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.