Individual provider Active NPI

Monica A. Moore, FNP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1871810812
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-072334 Issued in AL
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

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
511-06330OtherALBLUE CROSS OF AL
122011MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000265 AL Practitioner - Nurse Practitioner 8022149509 Reassigns benefits to 3 organizations

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
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

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

LicenseStateTypeSpecialty
1-072334ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Management Inc. CurrentSince Jun 18, 2019 Accepting new patients
Providence Healthcare Services Current Accepting new patients
Alabama Providence Healthcare Services CurrentSince Apr 3, 2019 Accepting new patients
University of South Alabama Health Care Authority CurrentSince Aug 1, 2017 Accepting new patients
Seton Medical Management Inc. CurrentSince Jun 18, 2019 Accepting new patients
USA Health Community Providers LLC CurrentSince Sep 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.