Nicole Kay Moore

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R224991 Issued in MD

Practice address

8118 Good Luck Rd
Lanham, MD 20706-3574

Phone

(301) 324-4968

NPI assigned

Jul 5, 2016

Last updated

Feb 8, 2019By 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

Other names 1

• N. Kay Moore Other name

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians

Capital Anesthesia Partners, LLCGroup PAC ID 1153597521, 12 clinicians

Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051
• Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039
• University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Company, LLC

  • Anesthesiology Physician
  • Annapolis, MD
  • NPI 1871548156

  DC, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Capital Anesthesia Partners, LLC

  • Anesthesiology Physician
  • Chevy Chase, MD
  • NPI 1265715692

  DC

  Medicare reassignment Care Compare group NPD
• First Colonies Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Columbia, MD
  • NPI 1740218767

  DC, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• North American Partners in Anesthesia Maryland LLC

  • Anesthesiology Physician
  • Prince Frederick, MD
  • NPI 1093707879

  DC

  Medicare reassignment NPD

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

• Calverthealth Medical Center, Inc.

  dba CalvertHealth Medical Center

  • General Acute Care Hospital
  • Prince Frederick, MD
  • NPI 1457389298
  Care Compare affiliation
• Dimensions Health Corporation

  dba University of Maryland Bowie Health Center

  • General Acute Care Hospital
  • Upper Marlboro, MD
  • NPI 1720099286
  Care Compare affiliation
• Luminis Health Doctors Community Medical Center, Inc.

  dba Doctors Community Hospital

  • General Acute Care Hospital
  • Lanham, MD
  • NPI 1730136532
  Care Compare affiliation

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1720430580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063574",
            "telephone_number": "301-324-4968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10307 Detroit Ave",
            "address_2": "206",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441021604",
            "country_code": "US",
            "telephone_number": "507-202-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NICOLE",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R224991",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "RN.331366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N.",
            "last_name": "MOORE",
            "middle_name": "KAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brieana Moore
• Cynthia Renee Moore, LGPC
• Danielle K Moore
• Deanna Lanell Moore
• Kevin M Moore
• Paula D Moore
• Signe Moore
• Tyra Moore, LICSW, LCSW-C
• Roseline Mordi
• Brianna Morehead

• Certified Registered Nurse Anesthetist in Lanham, MD
• Providers in Lanham, MD by specialty
• Certified Registered Nurse Anesthetist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.