Active NPI
Ana C Moore, CNP
- Nurse Practitioner
- Pataskala, OH
National Provider Identifier
1972549558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA.03346
- Practice address
- 418 Citation Rd SW
Pataskala, OH 43062 - Phone
- (740) 927-0475
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN159705 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | NP03346 | OH | |
| Nurse Practitioner | 363L00000X | COA.03346 | OH | Primary |
Addresses
Primary practice location
418 Citation Rd SW
Pataskala, OH 43062
Mailing address
418 Citation Rd SW
Pataskala, OH 43062
Phone (740) 927-0475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN159705 | OH | MD | Registered Nurse |
| COA.03346 | OH | MD | Nurse Practitioner |
| NP03346 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self-Employed NP Development Co., LLC | Nurse Practitioner | Past | Accepting new patients |
| Cardiology Inc | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Columbus, OH
- NPI 1992987341
-
- Nurse Practitioner
- Gahanna, OH
- NPI 1588832356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1972549558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 CITATION RD SW",
"city": "PATASKALA",
"state": "OH",
"postal_code": "43062",
"telephone_number": "740-927-0475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 CITATION RD SW",
"city": "PATASKALA",
"state": "OH",
"postal_code": "43062",
"telephone_number": "740-927-0475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ANA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN159705",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "NP03346",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.03346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pataskala, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.