Individual provider Active NPI

Deborah Sophia Moore, CPNP

  • Nurse Practitioner
  • Santa Barbara, CA
National Provider Identifier
1942353180
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11393 Issued in CA
Practice address
19 E Mission St Ste a
Santa Barbara, CA 93101-2459
Phone
(805) 271-6795
Fax
(805) 271-6797
NPI assigned
Jan 19, 2007
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11393 CA Primary

Addresses

Primary practice location

19 E Mission St Ste a
Santa Barbara, CA 93101-2459

Mailing address

19 E Mission St Ste a
Santa Barbara, CA 93101-2459
Phone (805) 271-6795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070803000552 CA Practitioner - Nurse Practitioner 2860583911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deborah S Moore Registered Nursing IncGroup PAC ID 2668870072, 2 clinicians

Practice addresses (Care Compare)

19 E Mission St
Suite a
Santa Barbara, CA 93101-2459
Phone (805) 271-6795

19 E Mission St a
Santa Barbara, CA 93101-2459

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Leaf Family Therapy, Inc CurrentSince Aug 7, 2024 Accepting new patients
Deborah S Moore Registered Nursing Inc CurrentSince Jun 11, 2021 Accepting new patients

Locations

7131 N 11th St
Ste 104
Fresno, CA 93720
Phone (559) 435-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1942353180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E MISSION ST STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012459",
            "telephone_number": "805-271-6795",
            "fax_number": "805-271-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MISSION ST STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012459",
            "telephone_number": "805-271-6795",
            "fax_number": "805-271-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEBORAH",
        "middle_name": "SOPHIA",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "11393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.