Shelie Moore, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

657406 Issued in TX

Practice address

12200 Renfert Way
Austin, TX 78758-5653

Phone

(512) 451-8211

NPI assigned

Oct 3, 2016

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)

Not enrolled

State licenses

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.

• Aa OBGYN PLLC

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1104170901
  NPD (past)

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1871042887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LAKE SIDE DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286902",
            "telephone_number": "512-497-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585653",
            "telephone_number": "512-451-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHELIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "657406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E. Moore, CRNA
• Sarah W Moore, MD
• Sederia Ellen Moore
• Seth Allen Moore, PT,DPT
• Sharon Moore, MD
• Susan Moons Moore, PHD
• Tiphani Moore, NP
• Walter Scott Moore, MD
• Elizabeth Moorehead, MD
• Brenna Moorer, MS, RD, LD

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.