Individual provider Active NPI

Nora Elizabeth Moore, LPE

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1770636250
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PE 1453 Issued in TN
Practice address
1100 E 3Rd St
Suite G100
Chattanooga, TN 37403-2201
Phone
(423) 643-1961
Fax
(423) 643-2030
NPI assigned
Jan 19, 2007
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
Professional Counselor 101YP2500X PE 1453 TN Primary

Addresses

Primary practice location

1100 E 3Rd St
Suite G100
Chattanooga, TN 37403-2201

Mailing address

210 Fernwood Dr NE
Cleveland, TN 37323-4530
Phone (423) 472-3221

Other identifiers 1

IdentifierTypeStateIssuer
4132117OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PE 1453TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrative Medicine, P.C. Past Accepting new patients

Organizations & group practices 1

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770636250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FERNWOOD DR NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373234530",
            "telephone_number": "423-472-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 3RD ST",
            "address_2": "SUITE G100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032201",
            "telephone_number": "423-643-1961",
            "fax_number": "423-643-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NORA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "PE 1453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4132117",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.