Active NPI
Danya M Moore, PAC
- Physician Assistant
- Owensboro, KY
National Provider Identifier
1861688962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 922 Triplett St
Owensboro, KY 42303-3118 - Phone
- (270) 685-5077
- NPI assigned
- Sep 21, 2007
- Last updated
- Oct 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | KY | Primary | |
| Medical Physician Assistant | 363AM0700X | PA1063 | KY |
Addresses
Primary practice location
922 Triplett St
Owensboro, KY 42303-3118
Mailing address
922 Triplett Street
Owensboro, KY 42303-3222
Phone (270) 685-5077
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000536383 | Other | ANTHEM | |
| 000000668071 | Other | KY | COOP HEALTH ANTHEM # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Consultants LLP | Physician Assistant | Past | Accepting new patients |
| Owensboro Health Medical Group Inc | Past | Accepting new patients | |
| Green River Heart Institute, P.S.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Cardiology Physician
- Owensboro, KY
- NPI 1982719852
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1861688962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 TRIPLETT STREET",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423033222",
"telephone_number": "270-685-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 TRIPLETT ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423033118",
"telephone_number": "270-685-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DANYA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "PA1063",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000536383",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COOP HEALTH ANTHEM #",
"identifier": "000000668071",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.