THERESA LYNN MOORE PMHNP-BC NPI 1316561202

NPI Information

NPI: 1316561202
Provider Name: THERESA LYNN MOORE, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
701 S PARKER ST STE 2800
ORANGE, CA
ZIP 92868
Phone: (253) 240-0530
Get Directions

Theresa Lynn Moore, PMHNP-BC is a psychiatric/mental health nurse practitioner in Orange, CA with 4 years of experience. Theresa Lynn Moore, PMHNP-BC NPI is 1316561202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 S PARKER ST STE 2800
ORANGE, CA
ZIP 92868-720
Phone: (253) 240-0530
Fax: (480) 546-3134

The NPI 1316561202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2020 and was last updated on 3/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		61083112	WASHINGTON	No
2	163W00000X	Registered Nurse		RN61083112	WASHINGTON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	61114903	WASHINGTON	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61114903	WASHINGTON	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	NP95019703	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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