Individual provider Active NPI

Cameron Moore, FNP

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1952869547
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP140772 Issued in TX
Practice address
11665 Fuqua St Ste C301
Houston, TX 77034-4632
Phone
(713) 947-1001
Fax
(713) 947-0609
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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 AP140772 TX Primary

Addresses

Primary practice location

11665 Fuqua St Ste C301
Houston, TX 77034-4632

Mailing address

11665 Fuqua St Ste C301
Houston, TX 77034-4632
Phone (713) 947-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190425001322 TX Practitioner - Nurse Practitioner 7719229657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Specialists of Houston, PAGroup PAC ID 5193613149, 24 clinicians

Practice addresses (Care Compare)

2215 Rollingbrook Dr
Suite 140
Baytown, TX 77521-3693
Phone (281) 428-2487

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Specialists of Houston, PA CurrentSince Mar 26, 2019 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

2215 Rollingbrook Dr
Ste 140
Baytown, TX 77521
Phone (281) 428-2487

400 River Pointe Dr
Conroe, TX 77304
Phone (936) 282-6750

11665 Fuqua St
Ste C301
Houston, TX 77034
Phone (713) 947-1001

11914 Astoria Blvd
Ste 420
Houston, TX 77089
Phone (281) 484-9070

4407 Yoakum Blvd
Ste B
Houston, TX 77006
Phone (281) 528-8111

18648 McKay Dr
Ste 130
Humble, TX 77338
Phone (832) 381-2441

21927 Clay Rd
Ste 100
Katy, TX 77449
Phone (346) 447-2500

3333 Bayshore Blvd
Ste 270
Pasadena, TX 77504
Phone (713) 947-9507

2743 Smith Ranch Rd
Ste 803
Pearland, TX 77584
Phone (713) 944-4660

1111 Highway 6
Ste 174
Sugar Land, TX 77478
Phone (281) 491-6329

9449 Grogans Mill Rd
The Woodlands, TX 77380
Phone (281) 363-1262

100 E Nasa Pkwy
Ste 35
Webster, TX 77598
Phone (281) 332-2059

Interoperability endpoints

  • Direct secure messaging: cameron.moore.1@19285.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1952869547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11665 FUQUA ST STE C301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344632",
            "telephone_number": "713-947-1001",
            "fax_number": "713-947-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11665 FUQUA ST STE C301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344632",
            "telephone_number": "713-947-1001",
            "fax_number": "713-947-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAMERON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.