SHELIE MOORE (NPI# 1871042887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871042887 |
| Entity Type | Individual |
| Full Name | SHELIE MOORE |
| Credential | FNP |
| Practice Address |
12200 Renfert Way Austin TX 78758-5653 |
| Mailing Address |
409 Lake Side Dr Georgetown TX 78628-6902 |
| Practice Telephone | 5124518211 |
| Mailing Telephone | 5124977390 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
657406 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12200 RENFERT WAY |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-5653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114376 | Screven T Edgerton | Obstetrics & Gynecology | 12200 Renfert Way, Ste 100, Austin, TX 78758-5614 | 2005-06-14 |
| 1013409978 | Madison Bailey Webb | Nurse Practitioner | 12200 Renfert Way, Austin, TX 78758-5653 | 2018-06-05 |
| 1063869022 | Amanda Christine Halle | Obstetrics & Gynecology | 12200 Renfert Way, Ste 100, Austin, TX 78758 | 2016-05-19 |
| 1285079483 | Luis Alberto Monsivais | Obstetrics & Gynecology | 12200 Renfert Way, Austin, TX 78758-5653 | 2013-05-02 |
| 1104170901 | Aa Obgyn Pllc | Obstetrics & Gynecology | 12200 Renfert Way, Ste 100, Austin, TX 78758-5614 | 2012-10-31 |
| 1316207269 | Alyson Danelle Garcia | Obstetrics & Gynecology | 12200 Renfert Way, Austin, TX 78758-5653 | 2012-05-25 |
| 1497045561 | Jacqueline B Lockwood | Nurse Practitioner | 12200 Renfert Way, Suite 100, Austin, TX 78758-5614 | 2011-04-11 |
| 1366731770 | Javier Antonio Aguirre | Obstetrics & Gynecology | 12200 Renfert Way, Suite, Austin, TX 78758-5653 | 2011-04-06 |
| 1063718393 | Brooke Ballases Beebe | Physician Assistant | 12200 Renfert Way, Ste 100, Austin, TX 78758-5614 | 2011-02-03 |
| 1821229568 | St. David's Specialized Women's Services, Pllc | Obstetrics & Gynecology | 12200 Renfert Way, Suite G-3, Austin, TX 78758-5614 | 2009-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616992 | Nancy Toll | Nurse Practitioner | 8600 N Fm 620 Rd Apt 936, Austin, TX 78726-3535 | 2020-10-13 |
| 1003413055 | Anthony Delovino Lista | Nurse Practitioner | 311 Bowie St Apt 1215, Austin, TX 78703-5296 | 2020-10-02 |
| 1366049553 | Lauren Nicole Crider | Nurse Practitioner | 3601 S Congress Ave Ste D100, Austin, TX 78704-7205 | 2020-10-01 |
| 1366059784 | Teresa Marie Reed | Nurse Practitioner | 3921 Steck Ave Ste A120, Austin, TX 78759-8669 | 2020-09-29 |
| 1144836289 | Amy Silva | Nurse Practitioner | 1824 Rainy Meadows Dr, Austin, TX 78758-3518 | 2020-09-22 |
| 1326652470 | Carolyn Lee Stanford | Nurse Practitioner | 14902 Crosscreek, Austin, TX 78737-8904 | 2020-09-06 |
| 1457965899 | Lorie Kmetz | Nurse Practitioner | 1907 Alguno Rd, Austin, TX 78757-3220 | 2020-09-02 |
| 1184238735 | Amanda Kanski | Nurse Practitioner | 9525 N Capital of Texas Hwy Unit 416, Austin, TX 78759-7294 | 2020-09-01 |
| 1487265013 | Lisa Karen Brogan | Nurse Practitioner | 1805 Forest Hill Dr, Austin, TX 78745-1720 | 2020-08-17 |
| 1992316327 | Mona Saberi | Nurse Practitioner | 15024 Calaveras Dr, Austin, TX 78717-4577 | 2020-08-10 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.