Angelita Moore

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP139479 Issued in TX

Practice address

1513 E Presidio St Ste B
Fort Worth, TX 76102-6735

Phone

(817) 702-1100

NPI assigned

Feb 13, 2019

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 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• JPS Health Network Hospital, Fort Worth, TX, CCN 450039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562

  TX

  Medicare reassignment Care Compare group NPD
• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873

  TX

  Medicare reassignment NPD
• VMD Primary Providers North Texas, PLLC

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1295338358

  TX

  Medicare reassignment NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD
• Salam Al-Hafidh MD Facp PA

  • Internal Medicine Physician
  • Richland Hills, TX
  • NPI 1649500307
  NPD (past)

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

• Tarrant County Hospital District

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1992753222

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1811453087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAGNOLIA AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047657",
            "telephone_number": "817-702-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 E PRESIDIO ST STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761026735",
            "telephone_number": "817-702-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Lebanon Ste 116",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750363412",
            "country_code": "US",
            "telephone_number": "469-405-0500",
            "fax_number": "469-405-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Maryville University Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631415849",
            "country_code": "US",
            "telephone_number": "314-529-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 E Wheatland Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164914",
            "country_code": "US",
            "telephone_number": "214-550-2330",
            "fax_number": "214-550-2331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7505 Glenview Dr Ste 151",
            "address_purpose": "LOCATION",
            "city": "Richland Hills",
            "state": "TX",
            "postal_code": "761808335",
            "country_code": "US",
            "telephone_number": "817-284-9922",
            "fax_number": "817-284-9926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 E Red Bird Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752412008",
            "country_code": "US",
            "telephone_number": "214-344-0608",
            "fax_number": "214-243-2142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANGELITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylin Mooney
• Emma Mooneyham, RBT
• Moonlight Medical Inc
• Sania Joseph Moonnumackel
• Ofear Moore Norris, NP
• Anna Britton Moore, PT, DPT
• Ashantay Moore
• Barbara J Moore, EDD
• Brittany Nicole Moore, DC
• Carol P Moore, RN

• All providers in Fort Worth, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.