JOSEPHINE MOORE FNP-BC NPI 1629340906

NPI Information

  • NPI: 1629340906
  • Provider Name: JOSEPHINE MOORE, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11810 GRAND PARK AVE STE 500
    NORTH BETHESDA, MD
    ZIP 20852
  • Phone: (240) 856-1393

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NPI Details

Josephine Moore, FNP-BC is a family nurse practitioner in North Bethesda, MD with 14 years of experience. Josephine Moore, FNP-BC NPI is 1629340906. 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:

11810 GRAND PARK AVE STE 500
NORTH BETHESDA, MD
ZIP 20852-679
Phone: (240) 856-1393

The NPI 1629340906 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 2/2/2012 and was last updated on 12/11/2024.

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
1363L00000XNurse Practitioner6820WISCONSINNo
2363LC0200XNurse PractitionerCritical Care Medicine02587NEW MEXICONo
3363LC0200XNurse PractitionerCritical Care MedicineRN1012553DISTRICT OF COLUMBIANo
4363LF0000XNurse PractitionerFamily6820WISCONSINNo
5363LC0200XNurse PractitionerCritical Care Medicine4704316175MICHIGANNo
6363LC0200XNurse PractitionerCritical Care Medicine6820WISCONSINNo
7363LF0000XNurse PractitionerFamilyR180060MARYLANDYes

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: 3/30/2025

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