Amanda Davis Moore, MSN, APRN, ANP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP06967 Issued in LA

Practice address

10880 Joor Rd
Baton Rouge, LA 70818-3909

Phone

(225) 367-4122

Fax

(225) 367-4092

NPI assigned

Jul 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1932463288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10880 JOOR RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183909",
            "telephone_number": "225-367-4122",
            "fax_number": "225-367-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 JOOR RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183909",
            "telephone_number": "225-367-4122",
            "fax_number": "225-367-4092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18901 Greenwell Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwell Springs",
            "state": "LA",
            "postal_code": "707394836",
            "country_code": "US",
            "telephone_number": "225-924-9985",
            "fax_number": "225-924-0884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMANDA",
        "middle_name": "DAVIS",
        "credential": "MSN, APRN, ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "TAP002933",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Mook
• Jeffrey Keith Moonan, M.D.
• Moore Care, LLC
• Moore Care, LLC
• Moore Medical Inc
• Amy Moore, PHYSICAL THERAPIST
• Brea Shanice Moore
• Brielle Armani Moore, MA FAMILY THERAPY
• Charlotta Loretta Moore
• Cheryl Ann Moore

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.