Individual provider Active NPI

Jamie L Moore, PMHNP-BC, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1952962664
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1013372 Issued in TX
Practice address
11500 Texas Highway 121 Suite 930
Frisco, TX 75035
Phone
(469) 200-4093
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1013372 TX Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 788960 TX

Addresses

Primary practice location

11500 Texas Highway 121 Suite 930
Frisco, TX 75035

Mailing address

10204 Cedar Breaks VW
McKinney, TX 75072-8969
Phone (757) 675-0164

Other practice location 1

11500 Texas Highway 121 Suite 510
Frisco, TX 75035
Phone (469) 788-8410

Other practice location 2

281 W Southlake Blvd
Southlake, TX 76092-7052
Phone (817) 704-1431

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Dr.Chrono

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
I20221007000851 TX Practitioner - Nurse Practitioner 1850777277 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
Telehealth
Offers telehealth services
Group practices
Nazimuddin Mohammed MD PAGroup PAC ID 4284995051, 37 clinicians

Practice addresses (Care Compare)

11500 State Hwy 121
Suite 930
Frisco, TX 75035-9347
Phone (469) 200-4093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
788960TXMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nazimuddin Mohammed MD PA CurrentSince Oct 15, 2022 Accepting new patients

Locations

11500 State Highway 121
Ste 93
Frisco, TX 75035
Phone (469) 200-4093

11500 State Highway 121
Bldg 500
Frisco, TX 75035

11500 State Highway 121
Ste 930
Frisco, TX 75035
Phone (469) 200-4083

11500 State Highway 121
Ste 900
Frisco, TX 75035

11500 State Highway 121
Ste 510
Frisco, TX 75035
Phone (469) 200-4093

525 Shiloh Rd
Ste 1400
Plano, TX 75074
Phone (469) 200-4093

281 W Southlake Blvd
Southlake, TX 76092
Phone (469) 200-4093

281 W Southlake Blvd
Bldg 10
Southlake, TX 76092
Phone (469) 200-4093

Organizations & group practices 1

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1952962664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 CEDAR BREAKS VW",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750728969",
            "telephone_number": "757-675-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 TEXAS HIGHWAY 121 SUITE 930",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "469-200-4093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 Texas Highway 121 Suite 510",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75035",
            "country_code": "US",
            "telephone_number": "469-788-8410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 W Southlake Blvd",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760927052",
            "country_code": "US",
            "telephone_number": "817-704-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC, DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1013372",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "788960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dr.Chrono",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "11500 Texas Highway 121 Suite 930",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.