Suzzette A Cameron-Moore, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024174534 Issued in VA

Practice address

1201 Broad Rock Blvd
Richmond, VA 23249-8606

Phone

(804) 675-5272

Fax

(804) 675-5472

NPI assigned

Jun 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Suzzette A Mosor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1881044758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5272",
            "fax_number": "804-675-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232498606",
            "telephone_number": "804-675-5272",
            "fax_number": "804-675-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON-MOORE",
        "first_name": "SUZZETTE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174534",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN192249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZZETTE",
            "last_name": "MOSOR",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Calyx Recovery Inc.
• Kasey V Cambero, CRNP
• Jennifer Camblin
• Erin E Camden, PA-C
• Teresa Maria Camden, M.D.
• Alyia Camille Cameron
• Brian Cameron, MD
• John D Cameron, MD
• Juliet Castle Cameron, PSY.D, LCP
• Camille Rudney LLC

• Family Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.