Stacey Denise Moore, M.D.

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

License

M8193 Issued in TX

Practice address

5373 W Alabama St Ste 204
Houston, TX 77056-5923

Phone

(832) 299-5229

NPI assigned

Dec 7, 2007

Last updated

May 29, 2026By 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 15

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, SD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• KND Development 59 LLC

  • Hospitalist Physician
  • Arlington, TX
  • NPI 1821327321

  Multi-Specialty

  Medicare reassignment NPD
• Sanford Clinic

  dba Sanford Health Psychiatry & Psychology Clinic

  • Psychologist
  • Sioux Falls, SD
  • NPI 1396764254

  Multi-Specialty

  Medicare reassignment NPD
• SDM Medical PLLC

  • Integrative Medicine Physician
  • Houston, TX
  • NPI 1902769037

  Multi-Specialty

  NPD Authorized official
• KND Development 59 LLC

  • Hospitalist Physician
  • Webster, TX
  • NPI 1114215571

  Multi-Specialty

  NPD
• KND Development 59, LLC

  dba Specialty Hospitals Broken Arrow

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823

  Multi-Specialty

  NPD
• Sanford Clinic

  dba Sanford Virtual Health Services

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345

  Multi-Specialty

  NPD
• Sanford Clinic

  dba Sanford Children's Specialty Clinic

  • Pediatrics Physician
  • Sioux Falls, SD
  • NPI 1881610889

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1982887493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20211 CYPRESSWOOD ESTATES RUN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773733295",
            "telephone_number": "832-496-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565923",
            "telephone_number": "832-299-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STACEY",
        "middle_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "MD",
            "license": "D0105958",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "CA",
            "license": "206758",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "KY",
            "license": "61731",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "VA",
            "license": "0101289204",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "TX",
            "license": "M8193",
            "primary": true
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "OH",
            "license": "35.154137",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "TX",
            "license": "M8193",
            "primary": false
        },
        {
            "code": "2086P0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Physician Nutrition Specialist",
            "state": "CA",
            "license": "206758",
            "primary": false
        },
        {
            "code": "2086P0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Physician Nutrition Specialist",
            "state": "MD",
            "license": "D0105958",
            "primary": false
        },
        {
            "code": "2086P0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Physician Nutrition Specialist",
            "state": "VA",
            "license": "0101289204",
            "primary": false
        },
        {
            "code": "2086P0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Physician Nutrition Specialist",
            "state": "DC",
            "license": "MD600005992",
            "primary": false
        },
        {
            "code": "2086P0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Physician Nutrition Specialist",
            "state": "OH",
            "license": "35.154137",
            "primary": false
        },
        {
            "code": "2086P0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Physician Nutrition Specialist",
            "state": "TX",
            "license": "M8193",
            "primary": false
        },
        {
            "code": "2086P0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Physician Nutrition Specialist",
            "state": "KY",
            "license": "61731",
            "primary": false
        },
        {
            "code": "2086P0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Physician Nutrition Specialist",
            "state": "GA",
            "license": "112023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CA598",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196912302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shantrae Moore
• Shelby Dylese Moore
• Sherri Ann Moore, COTA
• Shirley Moore
• Sidra Moore, APRN, FNP-BC
• Stephanie Moore
• Suong Thu Moore
• Sydney Dunham Moore, PA
• Sylvia Gail Moore, CRNA
• Tammorrow Moore, RN

• Integrative Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Integrative Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.

Verify at the official NPI Registry.