Brian Moore Family Nurse Practitioner, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BRIAN MOORE FAMILY NURSE PRACTITIONER, LLC

Practice address

100 Westland PL Ste a
West Monroe, LA 71291-5400

Phone

(318) 314-2308

Fax

(318) 314-3155

NPI assigned

Apr 15, 2020

Last updated

Apr 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittney A Whitlock

Title

Credentialing Specialist

Phone

(318) 325-6200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Moore

  • Family Nurse Practitioner
  • West Monroe, LA
  • NPI 1487092276
  Medicare reassignment NPD

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1750900197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTLAND PL STE A",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915400",
            "telephone_number": "318-314-2308",
            "fax_number": "318-314-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTLAND PL STE A",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915400",
            "telephone_number": "318-314-2308",
            "fax_number": "318-314-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN MOORE FAMILY NURSE PRACTITIONER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "318-325-6200"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Brantley
• Brandi Moore Brasher, FNP-C
• Courtney Brasher, LMFT
• Vanessa Brass, FNP
• Lisa Renee Brazzel, LPC, LMFT
• Millicent Bridges-Johnson
• Quintina Broadnax
• Melissa Sue Brock, FNP-C
• Tracy Calhoun Brooks, LOTR
• Brookshire Grocery Company (Brookshires Pharmacy)

• Family Nurse Practitioner in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.