TRACI MOORE APRN FNP-C NPI 1225570005

NPI Information

  • NPI: 1225570005
  • Provider Name: TRACI MOORE, APRN, FNP-C
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3931 N STOCKTON HILL RD
    KINGMAN, AZ
    ZIP 86409
  • Phone: (928) 377-0935

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NPI Details

Traci Moore, APRN, FNP-C is a family medicine in Kingman, AZ with 6 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Traci Moore, APRN, FNP-C NPI is 1225570005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE - PHOENIX
Graduation Year:2020

The provider's business location address is:

3931 N STOCKTON HILL RD
KINGMAN, AZ
ZIP 86409-426
Phone: (928) 377-0935

The NPI 1225570005 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 11/10/2016 and was last updated on 11/12/2024.

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
1163W00000XRegistered NurseRN186954ARIZONANo
2163WP0808XRegistered NursePsychiatric/Mental HealthRN186954ARIZONANo
3207Q00000XFamily MedicineRNP315038ARIZONAYes

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: 11/21/2025

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