Individual provider Active NPI

Allison L. Moore, MSN

  • Adult Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1770643843
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
661224 Issued in TX
Practice address
3410 Worth St
Suite 860
Dallas, TX 75246-2003
Phone
(214) 820-8500
Fax
(214) 820-8168
NPI assigned
Dec 11, 2006
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 661224 TX
Adult Health Nurse Practitioner 363LA2200X 661224 TX Primary
Family Nurse Practitioner 363LF0000X 661224 TX

Addresses

Primary practice location

3410 Worth St
Suite 860
Dallas, TX 75246-2003

Mailing address

3410 Worth St
Suite 860
Dallas, TX 75246-2003
Phone (214) 820-8500

Other identifiers 2

IdentifierTypeStateIssuer
184842605MedicaidTX
184842604MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amoore218125@direct.sw.org

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070510000410 TX Practitioner - Nurse Practitioner 7911003744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

200 N Virginia St
Baylor Scott and White Fam Med Ctr Terrell
Terrell, TX 75160-2732
Phone (469) 800-3100

3410 Worth St
Dallas, TX 75246-2064

4001 Worth St
Dallas, TX 75246-1608

600 Cooper Dr
Wylie, TX 75098-3969

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
661224TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 30, 2011 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 30, 2011 Accepting new patients
Healthtexas Provider Network Current Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3410 Worth St
Ste 860
Dallas, TX 75246

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: amoore218125@direct.sw.org

Organizations & group practices 3

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1770643843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST",
            "address_2": "SUITE 860",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462003",
            "telephone_number": "214-820-8500",
            "fax_number": "214-820-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST",
            "address_2": "SUITE 860",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462003",
            "telephone_number": "214-820-8500",
            "fax_number": "214-820-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALLISON",
        "middle_name": "L.",
        "name_prefix": "Prof.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "661224",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "661224",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "661224",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184842605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184842604",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoore218125@direct.sw.org",
            "affiliation": "N",
            "address_1": "3410 Worth St",
            "address_2": "Suite 860",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752462003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.