Individual provider Active NPI

Lenreyah Moore, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1902644727
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
229753 Issued in AR
Practice address
1100 N University Ave Ste 125
Little Rock, AR 72207-6356
Phone
(501) 663-0055
NPI assigned
Jul 16, 2024
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 229753 AR Primary

Addresses

Primary practice location

1100 N University Ave Ste 125
Little Rock, AR 72207-6356

Mailing address

1100 N University Ave
Little Rock, AR 72207-6343
Phone (501) 663-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20250421002931 AR Practitioner - Nurse Practitioner 1557514056 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229753ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Comprehensive Care System, Inc Current Accepting new patients
Jefferson Comprehensive Care System, Inc CurrentSince Jul 20, 2025 Accepting new patients
Supportive Psych Care of Arkansas PA CurrentSince Apr 15, 2025 Accepting new patients
Jefferson Comprehensive Care System, Inc CurrentSince Jul 20, 2025 Accepting new patients
Living Hope Southeast, LLC CurrentSince Apr 9, 2025 Accepting new patients

Locations

10025 W Markham St
Ste 210
Little Rock, AR 72205
Phone 5016635473 ext. 443

1100 N University Ave
Ste 125
Little Rock, AR 72207
Phone (501) 663-0055

1101 S Tennessee St
Pine Bluff, AR 71601
Phone (870) 543-2300

811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lhsoutheast/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1902644727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076343",
            "telephone_number": "501-663-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 125",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076356",
            "telephone_number": "501-663-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LENREYAH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "229753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.