NASTASSJA R MOORE N.P. NPI 1841639762

NPI Information

  • NPI: 1841639762
  • Provider Name: NASTASSJA R MOORE, N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2341 MCCALLIE AVE STE 403
    CHATTANOOGA, TN
    ZIP 37404
  • Phone: (423) 602-9674

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NPI Details

Nastassja R Moore, N.P. is a family nurse practitioner in Chattanooga, TN. Nastassja R Moore, N.P. NPI is 1841639762. 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:

2341 MCCALLIE AVE STE 403
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 602-9674
Fax: (423) 602-9690

The enumeration date for this NPI number is 6/25/2013 and was last updated on 6/7/2018.

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 Nurse161491TENNESSEENo
2363LF0000XNurse PractitionerFamily17742TENNESSEEYes

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
1Q000920MEDICAIDTENNESSEE
2003136096AMEDICAIDGEORGIA

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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