Individual provider Active NPI

Alyxandra Michelle Moore, DNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1942024633
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221003 Issued in OK
Practice address
4416 N Western Ave Ste 206
Oklahoma City, OK 73118-5256
Phone
(405) 590-0950
NPI assigned
Nov 11, 2024
Last updated
May 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 221003 OK Primary
Registered Nurse 163W00000X R0125860 OK

Addresses

Primary practice location

4416 N Western Ave Ste 206
Oklahoma City, OK 73118-5256

Mailing address

6525 NE 113TH St
Edmond, OK 73013-8352

Other practice location 1

6525 NE 113th St
Edmond, OK 73013-8352
Phone (405) 708-1070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R0125860OKMDRegistered Nurse
221003OKMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1942024633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 NE 113TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 N WESTERN AVE STE 206",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185256",
            "telephone_number": "405-590-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6525 NE 113th St",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730138352",
            "country_code": "US",
            "telephone_number": "405-708-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALYXANDRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "221003",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0125860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.