Elizabeth A. Moore, CNP, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN277214 Issued in OH

Practice address

821 Anola St
Suite C
Dover, OH 44622-2075

Phone

(330) 343-7581

Fax

(330) 343-1456

NPI assigned

Nov 21, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1841365574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MARION AVE NW",
            "address_2": "SUITE 200",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463639",
            "telephone_number": "330-837-1111",
            "fax_number": "330-837-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 ANOLA ST",
            "address_2": "SUITE C",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222075",
            "telephone_number": "330-343-7581",
            "fax_number": "330-343-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "credential": "CNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN277214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanne Mont, M.D.
• Miguel D Montagnese, M.D.
• Andrew Christopher Moore, LSW
• Curt R Moore, D.D.S.
• Darla R Moore, CNP
• James David Moore, M.D.
• Samantha Moore, CDCA
• Susan Marie Morris, R.D., L.D., CDE
• Mostafa Mirhaidari, D.O.
• Eric Mounts

• Family Nurse Practitioner in Dover, OH
• Providers in Dover, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.