Kristy D Moore, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

074320 Issued in LA

Practice address

401 E Vaughn Ave
Ruston, LA 71270-5950

Phone

(318) 254-2100

NPI assigned

Mar 29, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Louisiana Anesthesia Consultants, ApmcGroup PAC ID 3971408733, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/

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.

• Mid-Louisiana Anesthesia Consultants, Apmc

  • Anesthesiology Physician
  • Alexandria, LA
  • NPI 1205888914
  Medicare reassignment Care Compare group NPD
• Arena Anesthesia LLC

  • Anesthesiology Physician
  • Ruston, LA
  • NPI 1023244779

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Endoscopy Center of Monroe

  • Ambulatory Surgical Clinic/Center
  • Monroe, LA
  • NPI 1417957796
  Medicare reassignment NPD
• Jackson Parish Hospital

  • Critical Access Hospital
  • Jonesboro, LA
  • NPI 1093793408
  Medicare reassignment NPD
• Natchitoches Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Natchitoches, LA
  • NPI 1992827182

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Endoscopy Center of Monroe

  • Certified Registered Nurse Anesthetist
  • Monroe, LA
  • NPI 1437658275

  Nurse Anesthetist, Certified Registered

  NPD

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

• Rapides Healthcare System, L.L.C.

  dba Rapides Regional Medical Center

  • General Acute Care Hospital
  • Alexandria, LA
  • NPI 1477500015
  Care Compare affiliation
• Rapides Healthcare System, LLC

  dba HP Long Urgent Care-Pineville

  • Multi-Specialty Clinic/Center
  • Pineville, LA
  • NPI 1083031413

  Hospital

  Care Compare affiliation
• Rapides Healthcare System, LLC

  dba HP Long Urgent Care Clinic-Alexandria

  • Urgent Care Clinic/Center
  • Alexandria, LA
  • NPI 1477970168

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1891814703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 HIGHWAY 1228",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714837532",
            "telephone_number": "318-254-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705950",
            "telephone_number": "318-254-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRISTY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "074320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA CERTIFICATION NO.",
            "identifier": "074320",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024252",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "H6497",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latosha Jackson Mollette, APRN
• Tonya Monk
• Alyssa Moore
• Britannia Genelle Moore, LPC
• Emily Moore, MA, CCC-SLP
• Mallory Moore, SLP
• Monte Dale Moore, APRN
• Rachel Moore, NP
• Jason Morgan
• Morning Light, Inc (Parish Pathfinders CLE)

• Certified Registered Nurse Anesthetist in Ruston, LA
• Providers in Ruston, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.