Linda Karen Burt Moore, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

24997 Issued in TX

Practice address

4949 Franklin Ave
Waco, TX 76710-6900

Phone

(254) 776-0400

Fax

(254) 776-0637

NPI assigned

Oct 26, 2005

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 3

Other names 1

• Linda B Moore Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Baylor College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1912997339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 FRANKLIN AVE STE 310",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106900",
            "telephone_number": "254-776-0400",
            "fax_number": "254-776-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 FRANKLIN AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106900",
            "telephone_number": "254-776-0400",
            "fax_number": "254-776-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT MOORE",
        "first_name": "LINDA",
        "middle_name": "KAREN",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036135401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWL PROVIDER NUMBER",
            "identifier": "119784100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP PROVIDER NUMBER",
            "identifier": "119210",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "MOORE",
            "middle_name": "B",
            "credential": "ED.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karen Lynn Burnett, MD
• Jenessa Defrees Burney, PHARM.D., R.PH.
• Mary Ann Burney, PMH-NP
• Rebeckah Jean Burns, MD
• Kelsey Burrow, DO
• John Dane Burton
• Charllynnetta Busby, BCBA
• Jana L Busby
• Tammy Nannette Bush
• Todd Moroni Bushman, DMD

• Psychologist in Waco, TX
• Providers in Waco, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.