Michaelene Ann Moore, RN, ANP-C, CNS-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

215730 Issued in NC

Practice address

1200 N Elm St
Greensboro, NC 27401-1004

Phone

(336) 832-2840

NPI assigned

Apr 7, 2007

Last updated

Apr 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1861515793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 BIG OAK TRL",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149562",
            "telephone_number": "919-360-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAELENE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN, ANP-C, CNS-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "215730",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NC",
            "license": "215730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall S Moore
• Kyle Moore, LCSW, LCAS, MSW
• Lauren Gray Moore, CCC-SLP
• Linda E. Moore, CRNA
• Michael Albrecht Moore, M.D.
• Miracle Moore
• Nathanael David Moore, OTR/L
• Nichole Moore
• Nicole Yvette Moore, LCAS
• Nikia Jones Moore, PT, DPT

• Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.