Individual provider Active NPI

Linda E. Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Greensboro, NC
National Provider Identifier
1740220078
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
075010 Issued in NC
Practice address
4110 Stonebrook Farms Rd
Greensboro, NC 27406-9655
Phone
(336) 254-5901
Fax
(336) 674-6353
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 075010 NC Primary

Addresses

Primary practice location

4110 Stonebrook Farms Rd
Greensboro, NC 27406-9655

Mailing address

4110 Stonebrook Farms Rd
Greensboro, NC 27406-9655
Phone (336) 254-5901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000187 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719871458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Regional Anesthesia PLLCGroup PAC ID 5496921769, 51 clinicians
Carolina Anesthesia Associates PAGroup PAC ID 1456251057, 67 clinicians

Practice addresses (Care Compare)

12 Regional Dr
Pinehurst, NC 28374-8850
Phone (910) 295-5511

458 13TH Ave NE
Hickory, NC 28601-2658
Phone (828) 328-1493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28949NCMDPharmacist
075010NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Apr 1, 2004 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Dec 15, 2011 Accepting new patients
Greensboro Ophthalmology ASC LLC Anesthesiology Past Accepting new patients
Durham Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Regional Anesthesia, PLLC Past Accepting new patients
Davidson Anesthesia Consultants, PA Anesthesiology Past Accepting new patients

Locations

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673

12 Regional Dr
Pinehurst, NC 28374
Phone (910) 295-4242

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740220078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 STONEBROOK FARMS RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069655",
            "telephone_number": "336-254-5901",
            "fax_number": "336-674-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 STONEBROOK FARMS RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069655",
            "telephone_number": "336-254-5901",
            "fax_number": "336-674-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LINDA",
        "middle_name": "E.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "075010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.