Shelley Marie Moore, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-074273 Issued in AL

Practice address

3368 Highway 280
Suite 107
Alexander City, AL 35010-3393

Phone

(256) 212-9300

Fax

(256) 212-9363

NPI assigned

Feb 24, 2009

Last updated

Feb 24, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/65979035-1557-4261-8de9-caa332ef8187/

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.

• Basel Refai MD PC

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  • NPI 1003843939
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1982844460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 FIREHOUSE RD",
            "city": "GOODWATER",
            "state": "AL",
            "postal_code": "350725733",
            "telephone_number": "256-839-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "address_2": "SUITE 107",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103393",
            "telephone_number": "256-212-9300",
            "fax_number": "256-212-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHELLEY",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-074273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medco, L.L.C.
• Medical Park Optical Inc.
• Medical Park Optical, Inc.
• Lindsay Rachel Mitchell, CRNP
• Shalena Mitchell, CRNP
• William Harrison Moore Jr., M.D.
• Lisa S Morris, NP-C, RN
• Mountain Smiles - Lamberth & Lamberth PLLC
• Regina Murray
• Ruth S Nabors, M.D.

• Family Nurse Practitioner in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.