TRACY C. MOORE APRN NPI 1417188558

NPI Information

  • NPI: 1417188558
  • Provider Name: TRACY C. MOORE, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 830 S LIMESTONE STREET
    LEXINGTON, KY
    ZIP 40536
  • Phone: (859) 218-3247

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NPI Details

Tracy C. Moore, APRN is a family nurse practitioner in Lexington, KY. Tracy C. Moore, APRN NPI is 1417188558. 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:

830 S LIMESTONE STREET
LEXINGTON, KY
ZIP 40536-477
Phone: (859) 218-3247
Fax: (859) 257-2625

The NPI 1417188558 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 8/6/2009 and was last updated on 1/10/2018.

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 Nurse1066578KENTUCKYNo
2363L00000XNurse Practitioner3006134KENTUCKYNo
3363LF0000XNurse PractitionerFamily3006134KENTUCKYYes
4363LF0000XNurse PractitionerFamilyARNP9370360FLORIDANo

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
1ARNP9370360OTHERFLORIDARN/ARNP LICENSE
27100087960MEDICAIDKENTUCKY
31066578OTHERKENTUCKYRN LICENSE NUMBER

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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