Active NPI
Tierra Moore
- Family Nurse Practitioner
- Canton, OH
National Provider Identifier
1780580969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0043699
- Practice address
- 4667 Dressler Rd NW
Canton, OH 44718-3659 - Phone
- (330) 403-6163
- Fax
- (330) 230-0113
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0043699 | OH | Primary |
Addresses
Primary practice location
4667 Dressler Rd NW
Canton, OH 44718-3659
Mailing address
8910 Glasgow Cir NW
Massillon, OH 44646-1217
Phone (330) 437-8703
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792022400000",
"number": "1780580969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 GLASGOW CIR NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446461217",
"telephone_number": "330-437-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4667 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447183659",
"telephone_number": "330-403-6163",
"fax_number": "330-230-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "TIERRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0043699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.