Individual provider Active NPI

Faith Moore Cruz, ARNP

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1972802510
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9265787 Issued in FL
Practice address
1541 Medical Drive
Urgent Care Center
Tallahassee, FL 32308
Phone
(850) 431-7801
Fax
(850) 431-7809
NPI assigned
Mar 22, 2011
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9265787 FL Primary

Addresses

Primary practice location

1541 Medical Drive
Urgent Care Center
Tallahassee, FL 32308

Mailing address

1541 Medical Drive
Urgent Care Center
Tallahassee, FL 32308
Phone (850) 431-7801

Other names 1

  • Faith Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110524000829 FL Practitioner - Nurse Practitioner 9537345731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (850) 325-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince May 19, 2014 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 19, 2014 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Nurse Practitioner Current Accepting new patients
Pinnacle Physician Network, LLC Past Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

178 Lefall Dr
Quincy, FL 32351
Phone (850) 875-3600

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1309 Thomasville Rd
Ofc
Tallahassee, FL 32303
Phone (850) 431-7289

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1541 Medical Dr
Tallahassee, FL 32308
Phone (850) 431-7801

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

3900 Esplanade Way
Tallahassee, FL 32311
Phone (850) 431-3867

Interoperability endpoints

  • Direct secure messaging: faithmoore@tmhpp.allscriptsdirect.net

Organizations & group practices 6

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1972802510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 MEDICAL DRIVE",
            "address_2": "URGENT CARE CENTER",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-431-7801",
            "fax_number": "850-431-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 MEDICAL DRIVE",
            "address_2": "URGENT CARE CENTER",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-431-7801",
            "fax_number": "850-431-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "FAITH",
        "middle_name": "MOORE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9265787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAITH",
            "last_name": "MOORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.