Edie Moore, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

12851 Issued in CA

Practice address

23451 Madison St Ste 330
Torrance, CA 90505-4762

Phone

(310) 375-9994

NPI assigned

Jun 10, 2011

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804
  NPD (past)
• Susan Goodlerner MD Inc

  • Dermatology Physician
  • Torrance, CA
  • NPI 1487894457
  NPD (past)

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1851686539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 330",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054762",
            "telephone_number": "310-375-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 330",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054762",
            "telephone_number": "310-375-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EDIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "12851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hae Jung Moon, ABO, NCLE
• Jessica Rene' Moon
• Seung-Hee Moon, PHYSICIANS ASSISTANT
• Sora Moon, D.M.D.
• Alyssa Laxamana Mooney, NP
• Frandelia S. Moore
• James A Moore
• Jason Thomas Moore
• Julianna Yvonne Moore, DR
• Juy Moore

• Nurse Practitioner in Torrance, CA
• Providers in Torrance, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.