Tenesia Nicole Moore, APRN, FNP-C

Key facts

NPI

1740733740

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

1059858 (TX)

Practice address

777 E Wheatland Rd Ste 106
Duncanville, TX 75116-4918

Phone

(972) 685-5094

Fax

(972) 685-5108

NPI assigned

Jul 26, 2016

Reactivated

Oct 15, 2020

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• GLC Wellness Center Texas LLC General Practice Physician · Duncanville, TX · NPI 1700433653
  Medicare reassignment Care Compare group NPD TX
• Golden Life Wellness Center DFW LLC Family Medicine Physician · Arlington, TX · NPI 1265321160
  Medicare reassignment NPD FAMILY · TX

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

GLC Wellness Center Texas LLC (2 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tenesia.moore.p2@direct.alegiscare.nextgenshare.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 4, 2024.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1740733740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 HICKORY HILL DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632044",
            "telephone_number": "901-340-2397",
            "fax_number": "972-685-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E WHEATLAND RD STE 106",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164918",
            "telephone_number": "972-685-5094",
            "fax_number": "972-685-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TENESIA",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "deactivation_date": "2016-08-15",
        "reactivation_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000026365",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TN",
            "license": "160948",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1059858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

• Edward Bowling Miller, DDS
• Mint Dentistry, PLLC
• Mint Kids Dentistry, PLLC
• Minty Smiles
• Ashley Moore, PHARMD
• Tannia Isabel Moreno
• Aliana Cheney Murphy, BCBA, LBA
• My Change Is Coming, Inc.
• My Duncanville Denitst PLLC
• Umadevi Purushothaman Nair, D.M.D.

All providers in Duncanville, TX · Family Nurse Practitioner in Texas