Christine Moore, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9362525 Issued in FL

Practice address

300 Health Park Blvd Ste 5010
St Augustine, FL 32086-3705

Phone

(904) 823-8809

NPI assigned

Jul 23, 2018

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Palm Harbor Family Practice and Walk in Clinic PA

  • General Practice Physician
  • Palm Coast, FL
  • NPI 1831311810
  Medicare reassignment NPD

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1780161851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SEPTEMBER PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321644412",
            "telephone_number": "386-986-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK BLVD STE 5010",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863705",
            "telephone_number": "904-823-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9362525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul A Monzon, MD
• Elisabeth Anne Moody, MS CCC-SLP
• Anna Moon Farrell, MS., CCC-SLP
• Melissa S Moon, MOTR
• Garin Mooney
• Cooper Thomas Moore, LMHC
• Gloria Z. Moore, D.C.
• Gary E Morales Geraldino, M. D.
• Kelsey Morales, OTR/L
• Rachel Moran

• Nurse Practitioner in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.