THOMAS MOORE PMHNP-BC NPI 1538598487

NPI Information

NPI: 1538598487
Provider Name: THOMAS MOORE, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
66 CLUB RD STE 140
EUGENE, OR
ZIP 97401
Phone: (541) 345-1722
Get Directions

Thomas Moore, PMHNP-BC is a psychiatric/mental health nurse practitioner in Eugene, OR with 10 years of experience. Thomas Moore, PMHNP-BC NPI is 1538598487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

66 CLUB RD STE 140
EUGENE, OR
ZIP 97401-491
Phone: (541) 345-1722

The NPI 1538598487 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 11/1/2013 and was last updated on 3/1/2023.

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		RN61231272	WASHINGTON	No
2	163W00000X	Registered Nurse		202002591RN	OREGON	No
3	163WP0808X	Registered Nurse	Psychiatric/Mental Health	041393235	ILLINOIS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61231376	WASHINGTON	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209017885	ILLINOIS	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202002776NP-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500778964	MEDICAID	OREGON
2	500801827	MEDICAID	OREGON

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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