Gale Moore, C.N.M.

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

R525294 Issued in MS

Practice address

1401 Oak St
Grenada, MS 38901-4633

Phone

(662) 226-4010

Fax

(662) 226-4495

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gale.moore.whc@direct.meditouchehr.com
• Direct secure messaging: gmoore67185@ummc.direct-ci.com

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.

• Woman'S Health Clinic of Grenada, Inc

  • Rural Health Clinic/Center
  • Grenada, MS
  • NPI 1013032150
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1962582585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 OAK ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014633",
            "telephone_number": "662-226-4010",
            "fax_number": "662-226-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 OAK ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014633",
            "telephone_number": "662-226-4010",
            "fax_number": "662-226-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GALE",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MS",
            "license": "R525294",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MS",
            "license": "R525294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00111153",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mississippi Inpatient Medicine Associates, PLLC
• Mississippi Medical Products
• Mississippi State Department of Health
• George Terrance Moody, D.M.D.
• Candice Moore, OTR/L
• James R Moore Jr., R. PH.
• Kayla Anglin Moore, NP-C
• Morris Family Chiropractic PA
• Johnnie E Morris, DC
• Ms State Hospital Crisis Intervention Center - Grenada

• Advanced Practice Midwife in Grenada, MS
• Providers in Grenada, MS by specialty
• Advanced Practice Midwife in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.