Moore Primary Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9166216 Issued in FL

Legal business name

MOORE PRIMARY CARE LLC

Practice address

816 SE Ocean Blvd
Suite B
Stuart, FL 34994-2428

Phone

(772) 220-0033

Fax

(772) 220-0036

NPI assigned

Apr 1, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Moore, DNP

Title

Owner

Phone

(772) 220-0033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1821416488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 SE OCEAN BLVD",
            "address_2": "SUITE B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942428",
            "telephone_number": "772-220-0033",
            "fax_number": "772-220-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 SE OCEAN BLVD",
            "address_2": "SUITE B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942428",
            "telephone_number": "772-220-0033",
            "fax_number": "772-220-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-220-0033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9166216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra E Montie, P.A.-C.
• Digna Montoya
• Natasha N Montoya, RBT
• Lynne H Moon, RN
• Mack Stephen Moon
• Amanda Rose Moore
• Christen Alexis Moore
• Derexshana Moore
• Destiny Kayla Moore
• Eryn Moore

• Family Nurse Practitioner in Stuart, FL
• Providers in Stuart, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.