Active NPI
Nakita Monique Moore, M.D.
- Psychiatry Physician
- Beaumont, TX
National Provider Identifier
1992950463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- P1365
- Practice address
- 2750 S 8TH St
Beaumont, TX 77701-7719 - Phone
- (409) 839-1000
- NPI assigned
- Nov 24, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | P1365 | TX | Primary |
Addresses
Primary practice location
2750 S 8TH St
Beaumont, TX 77701-7719
Mailing address
PO Box 14969
Houston, TX 77221-4969
Phone (832) 668-9103
Other practice location 1
7200 North Loop E
Houston, TX 77028-5951
Phone (713) 970-7000
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1365 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spindletop MHMR Services | Current | Accepting new patients | |
| Spindletop MHMR Services | Current | Accepting new patients |
Locations
2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203
2895 S 8th St
Beaumont, TX 77701
Phone (409) 454-3355
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.
-
- Family Medicine Physician
- Beaumont, TX
- NPI 1952357550
-
- Mental Health Counselor
- Beaumont, TX
- NPI 1467517656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1992950463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14969",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772214969",
"telephone_number": "832-668-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 S 8TH ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777017719",
"telephone_number": "409-839-1000"
}
],
"practiceLocations": [
{
"address_1": "7200 North Loop E",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770285951",
"country_code": "US",
"telephone_number": "713-970-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "NAKITA",
"middle_name": "MONIQUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "P1365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.