Provider Type Icon

SHALANE BETH MOORE NP-C NPI 1497285696


NPI Information

NPI: 1497285696
Provider Name: SHALANE BETH MOORE, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
925 N 4TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 202-8640
Get Directions

Shalane Beth Moore, NP-C is a family nurse practitioner in Wilmington, NC with 7 years of experience. Shalane Beth Moore, NP-C NPI is 1497285696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

925 N 4TH ST
WILMINGTON, NC
ZIP 28401-450
Phone: (910) 202-8640
Fax: (910) 251-1540

The NPI 1497285696 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 6/20/2017 and was last updated on 2/22/2021.


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 Nurse245667NORTH CAROLINANo
2363L00000XNurse Practitioner245667NORTH CAROLINANo
3363LP2300XNurse PractitionerPrimary Care245667NORTH CAROLINANo
4363LF0000XNurse PractitionerFamily245667NORTH CAROLINAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.