Marla J Moore, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN0000077820 Issued in TN

Practice address

457 Vista Dr
Sparta, TN 38583

Phone

(931) 738-3383

Fax

(931) 738-8911

NPI assigned

Oct 17, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Vanderbilt University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Family Care P.C.Group PAC ID 8729041835, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Thomas Highlands Hospital Hospital, Sparta, TN, CCN 440192
• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HJBFAD
• Direct secure messaging: marla.moore@cumbfc.eclinicaldirectplus.com

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.

• Cumberland Family Care PC

  • Family Medicine Physician
  • Sparta, TN
  • NPI 1225003809
  Medicare reassignment Care Compare group NPD
• Cumberland Family Care, P.C.

  • Health Service Clinic/Center
  • Spencer, TN
  • NPI 1679771356
  NPD

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

• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation
• Saint Thomas Highlands Hospital, LLC

  • General Acute Care Hospital
  • Sparta, TN
  • NPI 1922487966
  Care Compare affiliation

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1740279397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "38583",
            "telephone_number": "931-738-3383",
            "fax_number": "931-738-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "38583",
            "telephone_number": "931-738-3383",
            "fax_number": "931-738-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARLA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN0000077820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3342626",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Anthony Militana, MD
• Stephen Mills
• Caitlin Millsaps, OD
• Haily Rose Mooney, LMFT
• Amber Nicole Moore, FNP-C
• Mooreeyes, LLC
• Brennan Mountz, CRNA
• Mullins Vision South, PLLC
• Jennifer L Murphy, LPC-MHSP
• Kimerly A Neal, FNP

• Nurse Practitioner in Sparta, TN
• Providers in Sparta, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.