Janessa Cynthia Lucille Moore, NCPT

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

945987 Issued in AK

Practice address

7962 Resurrection Dr
Anchorage, AK 99504-4729

Phone

(907) 205-9435

NPI assigned

Sep 10, 2019

Last updated

Sep 10, 2019By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1871142018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7962 RESURRECTION DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044729",
            "telephone_number": "907-205-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7962 RESURRECTION DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044729",
            "telephone_number": "907-205-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JANESSA",
        "middle_name": "CYNTHIA LUCILLE",
        "credential": "NCPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "AK",
            "license": "945987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JANESSAMOORE@OUTLOOK.COM",
            "affiliation": "N",
            "address_1": "7962 Resurrection Dr",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995044729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daslie E Moore
• Diana Lou Moore
• Elizabeth Moore
• Erik Scott Moore, MD
• Frank H Moore, MD
• Jeffrey Allan Moore
• Jeffrey Scott Moore, MD
• Jenna N Moore, MHS
• Jennifer M Moore
• Jerry Moore

• Phlebology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Phlebology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.