Active NPI
Savannah Moore
- Family Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4036769
- Practice address
- 828 Lane Allen Rd Ste 219
Lexington, KY 40504-3659 - Phone
- (443) 383-9300
- Fax
- (855) 866-8701
- NPI assigned
- Mar 11, 2025
- Last updated
- Apr 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4036769 | KY | Primary |
Addresses
Primary practice location
828 Lane Allen Rd Ste 219
Lexington, KY 40504-3659
Mailing address
909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Phone (443) 383-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
236 Belmont Ave
Winchester, KY 40391-2302
909 Ridgebrook Rd
Suite 300
Sparks, MD 21152-9474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consonant Healing Associates of de LLC | Current | Accepting new patients |
Locations
828 Lane Allen Rd
Ste 219
Lexington, KY 40504
2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 255-3244
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1710786884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 RIDGEBROOK RD STE 300",
"city": "SPARKS",
"state": "MD",
"postal_code": "211529477",
"telephone_number": "443-383-9300",
"fax_number": "855-866-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 LANE ALLEN RD STE 219",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043659",
"telephone_number": "443-383-9300",
"fax_number": "855-866-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SAVANNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-11",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4036769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.