Active NPI
Christopher Heatwole Moore, MSN, RN, FNP
- Family Nurse Practitioner
- Harrisonburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024164912
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7789564 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001175642 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients | |
| Optima Health Plan | Current | 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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1396466066
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.