Chassie Nicole Moore, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

GPRN243838 Issued in TX

Practice address

3508 Far West Blvd Ste 130
Austin, TX 78731-3081

Phone

(512) 828-3990

Fax

(512) 241-1277

NPI assigned

Jul 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• First Choice Childrens Homecare LP

  • Home Health Agency
  • Austin, TX
  • NPI 1548240831
  NPD (past)

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1891303947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 FAR WEST BLVD STE 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313081",
            "telephone_number": "512-828-3990",
            "fax_number": "512-241-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 FAR WEST BLVD STE 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313081",
            "telephone_number": "512-828-3990",
            "fax_number": "512-241-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHASSIE",
        "middle_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "GPRN243838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Moore, MD
• Bryn Elizabeth Schiele Moore, PH.D.
• Camett Michelle Moore
• Carla G Moore, P.T.
• Charles Clifton Moore, PHD
• Christopher D Moore, LPC
• Dakota Moore, RBT
• Darrius Moore
• Deante Davon Moore
• Elzbieta Zuzanna Moore, PH.D., MS, CMSHN

• Pediatric Registered Nurse in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.