Individual provider Active NPI

Lauren Moore, NP-C

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1891124608
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R181660 Issued in MD
Practice address
100 E Carroll St Ste 301&406
Salisbury, MD 21801-5422
Phone
(410) 749-1282
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R181660 MD Primary

Addresses

Primary practice location

100 E Carroll St Ste 301&406
Salisbury, MD 21801-5422

Mailing address

100 E Carroll St
Salisbury, MD 21801-5493
Phone (410) 749-1282

Other practice location 1

11105 Cathage Rd
Berlin, MD 21811-2131
Phone (410) 641-9962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20140402000239 MD Practitioner - Nurse Practitioner 4284865478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Peninsula Regional IncGroup PAC ID 3072509702, 6 clinicians
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 912-6989

145 E Carroll St
Tidalhealth Covid Infusion Clinic
Salisbury, MD 21801-5454
Phone (410) 546-6400

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R181660MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Family CurrentSince Nov 30, 2015 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Nov 30, 2015 Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients
Peninsula Regional Medical Center Past Accepting new patients

Locations

11105 Cathage Rd
Ste 2
Berlin, MD 21811

11105 Cathage Rd
Berlin, MD 21811
Phone (410) 641-9962

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

100 E Carroll St
Ste 301406
Salisbury, MD 21801
Phone (410) 749-1282

Organizations & group practices 5

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 3

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1891124608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015493",
            "telephone_number": "410-749-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST STE 301&406",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-749-1282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11105 Cathage Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218112131",
            "country_code": "US",
            "telephone_number": "410-641-9962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAUREN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R181660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.