Individual provider Active NPI

Christopher Heatwole Moore, MSN, RN, FNP

  • Family Nurse Practitioner
  • Harrisonburg, VA
National Provider Identifier
1962474924
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164912 Issued in VA
Practice address
640 S Main St
Harrisonburg, VA 22801-5819
Phone
(540) 564-5800
Fax
(757) 440-3285
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001175642 VA
Family Nurse Practitioner 363LF0000X 0024164912 VA Primary

Addresses

Primary practice location

640 S Main St
Harrisonburg, VA 22801-5819

Mailing address

640 S Main St
Harrisonburg, VA 22801-5819
Phone (540) 564-5800

Other practice location 1

1151 Keezletown Rd
Suite 101
Weyers Cave, VA 24486-2337
Phone (540) 234-9241

Other identifiers 1

IdentifierTypeStateIssuer
7789564MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmoore6894@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080829000546 VA Practitioner - Nurse Practitioner 4385719871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Health PlanGroup PAC ID 1658736186, 5 clinicians

Practice addresses (Care Compare)

640 S Main St
Harrisonburg, VA 22801-5819
Phone (540) 564-5880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001175642VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jul 1, 2024 Accepting new patients
Optima Health Plan CurrentSince Jun 24, 2024 Accepting new patients

Locations

640 S Main St
Harrisonburg, VA 22801
Phone (540) 437-8250

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1962474924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015819",
            "telephone_number": "540-564-5800",
            "fax_number": "757-440-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015819",
            "telephone_number": "540-564-5800",
            "fax_number": "757-440-3285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Keezletown Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Weyers Cave",
            "state": "VA",
            "postal_code": "244862337",
            "country_code": "US",
            "telephone_number": "540-234-9241",
            "fax_number": "540-234-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTOPHER",
        "middle_name": "HEATWOLE",
        "credential": "MSN, RN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001175642",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7789564",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmoore6894@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "cmoore6894@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1151 Keezletown Rd",
            "address_2": "Suite 101",
            "city": "Weyers Cave",
            "state": "VA",
            "country_code": "US",
            "postal_code": "244862337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.