Active NPI
Sara Esteban-Moore, RN
- Adult Health Clinical Nurse Specialist
- Austin, TX
National Provider Identifier
1972082626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- AP138288
- Practice address
- 4310 James Casey St Ste 4a
Austin, TX 78745-1120 - Phone
- (512) 448-4588
- Fax
- (512) 445-4511
- NPI assigned
- Aug 13, 2018
- Last updated
- Nov 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | AP138288 | TX | Primary |
Addresses
Primary practice location
4310 James Casey St Ste 4a
Austin, TX 78745-1120
Mailing address
9211 Waterford Centre Blvd Ste 200
Austin, TX 78758-7667
Phone (512) 485-5889
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victory Wound Care | Single Specialty | Current | Accepting new patients |
Locations
14205 N Mo Pac Expy
Ste 570
Austin, TX 78728
Phone (737) 291-7570
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1972082626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9211 WATERFORD CENTRE BLVD STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787587667",
"telephone_number": "512-485-5889",
"fax_number": "512-420-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 JAMES CASEY ST STE 4A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451120",
"telephone_number": "512-448-4588",
"fax_number": "512-445-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTEBAN-MOORE",
"first_name": "SARA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TX",
"license": "AP138288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Samuel Ubong Essien
- Nelson Essiet
- Scott Bradly Essig, DDS
- Essilor Laboratories of America, L.P. (Dash Lab)
- Daniel Joseph Estabrook, LCSW
- Holli Esteban, CNS
- Vanessa Aguilar Estebane, LPC(C)
- Estela Psychiatry, PLLC (Estela Mental Health and Reproductive Psychiatry)
- Laura Kelley Estep, M.ED., BCBA-D
- Robert Tracy Esterquest, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.