Joseph Scott Moore, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

120502002 Issued in NU

Practice address

50 Hillcrest Medical Blvd
Ste. 303
Waco, TX 76712-8952

Phone

(254) 741-1400

NPI assigned

Jun 27, 2007

Last updated

Mar 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jody Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1902003510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HILLCREST MEDICAL BLVD",
            "address_2": "STE. 303",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128952",
            "telephone_number": "254-741-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HILLCREST MEDICAL BLVD",
            "address_2": "STE. 303",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128952",
            "telephone_number": "254-741-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOSEPH",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": "120502002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "MOORE",
            "prefix": "MR.",
            "credential": "MS, ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Devon Nicole Moore, LCSW
• Dianne Downing Moore, SLP
• Dod David Moore, D.D.S.
• Jacob Gordon Moore, DDS
• James Walter Moore, LPC
• Macasiana Ashanti Moore
• Mark K Moore, MD
• Nickie Michelle Moore
• Rachel Moore, D.C.
• Shane Moore

• Athletic Trainer in Waco, TX
• Providers in Waco, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.