Amy Michelle Moore, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

658702 Issued in TX

Practice address

813 Kingsbridge Dr
Garland, TX 75040-3334

Phone

(214) 695-8328

Fax

(972) 495-9877

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1912095449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 KINGSBRIDGE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403334",
            "telephone_number": "214-695-8328",
            "fax_number": "972-495-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 KINGSBRIDGE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403334",
            "telephone_number": "214-695-8328",
            "fax_number": "972-495-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "658702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0049KE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Moghadam, D.C
• Hashim Khan Mohmand, M.D.
• Francine Moise-Hernandez
• Mollykutty C. Thomas
• Frances Montelongo
• Bridgette Moore
• Frank H Moore Jr., D.D.S.
• Gerald Clinton Moore, M.D.
• Janet K Moore, MS, CCC-SLP
• Michelle Ann Moore

• Registered Nurse First Assistant in Garland, TX
• Providers in Garland, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.