Active NPI
Monica A. Moore, FNP
- Nurse Practitioner
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-072334
- Practice address
- 6701 Airport Blvd Ste B329
Mobile, AL 36608-6756 - Phone
- (251) 660-3510
- Fax
- (251) 660-3511
- NPI assigned
- Apr 30, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-072334 | AL | |
| Nurse Practitioner | 363L00000X | 1-072334 | AL | Primary |
Addresses
Primary practice location
6701 Airport Blvd Ste B329
Mobile, AL 36608-6756
Mailing address
6701 Airport Blvd Ste B329
Mobile, AL 36608-6756
Phone (251) 660-3510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511-06330 | Other | AL | BLUE CROSS OF AL |
| 122011 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-072334 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Medical Management Inc. | Current | Accepting new patients | |
| Providence Healthcare Services | Current | Accepting new patients | |
| Alabama Providence Healthcare Services | Current | Accepting new patients | |
| University of South Alabama Health Care Authority | Current | Accepting new patients | |
| Seton Medical Management Inc. | Current | Accepting new patients | |
| USA Health Community Providers LLC | Current | Accepting new patients |
Locations
610 Providence Park Dr E
Ste 102
Mobile, AL 36695
Phone (251) 378-3900
6701 Airport Blvd
Bldg B
Mobile, AL 36608
Phone (251) 633-1890
6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880
2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880
6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311
Interoperability endpoints
- monica.moore.2@16253.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Mobile, AL
- NPI 1801571823
-
dba Providence Medical Group
- Internal Medicine Physician
- Mobile, AL
- NPI 1245669514
-
- Radiation Oncology Physician
- Mobile, AL
- NPI 1841629946
-
dba Providence Medical Group
- Internal Medicine Physician
- Mobile, AL
- NPI 1508878083
-
- Radiology Clinic/Center
- Mobile, AL
- NPI 1205265303
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1508392432
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba USA Health Providence Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1871810812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 AIRPORT BLVD STE B329",
"city": "MOBILE",
"state": "AL",
"postal_code": "366086756",
"telephone_number": "251-660-3510",
"fax_number": "251-660-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 AIRPORT BLVD STE B329",
"city": "MOBILE",
"state": "AL",
"postal_code": "366086756",
"telephone_number": "251-660-3510",
"fax_number": "251-660-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MONICA",
"middle_name": "A.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-30",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-072334",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-072334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF AL",
"identifier": "511-06330",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122011",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.