NPIMap

Individual provider Active NPI

Courtney D Moore, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1942816061
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014882 Issued in KY
Practice address
676 S Floyd St Ste 200
Louisville, KY 40202-1840
Phone
(502) 629-4440
Fax
(502) 629-4445
NPI assigned
Sep 23, 2020
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3014882 KY Primary

Addresses

Primary practice location

676 S Floyd St Ste 200
Louisville, KY 40202-1840

Mailing address

PO Box 776347
Chicago, IL 60677-6347
Phone (502) 272-5052

Other identifiers 3

IdentifierTypeStateIssuer
3014882OtherKYLICENSE
7100748690MedicaidKY
71011795AOtherINLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmoore45350@direct.nortonhealthcare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210415001801 KY Practitioner - Nurse Practitioner 5294143095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

676 S Floyd St
Suite 200
Louisville, KY 40202-1840
Phone (502) 629-2806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3014882KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc Family CurrentSince May 1, 2022 Accepting new patients
Norton Hospitals, Inc Family CurrentSince May 1, 2022 Accepting new patients

Locations

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

Interoperability endpoints

  • Direct secure messaging: cmoore45350@direct.nortonhealthcare.org

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1942816061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776347",
            "telephone_number": "502-272-5052",
            "fax_number": "502-629-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S FLOYD ST STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021840",
            "telephone_number": "502-629-4440",
            "fax_number": "502-629-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "COURTNEY",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3014882",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100748690",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "71011795A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmoore45350@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "676 S Floyd St Ste 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.