Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN MOORE CRNA
NPI 1316915614
Nurse Anesthetist, Certified Registered in Lebanon, TN

Q: What is John Moore's NPI number?

The NPI number for John Moore is 1316915614. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Q: What is John Moore's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for John Moore was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 10, 2006

1411 W BADDOUR PKWY, LEBANON, TN 37087(615) 256-1064 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Moore Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN MOORE CRNA (NPI 1316915614) is an individual nurse anesthetist, certified registered in Lebanon, Tennessee, licensed in Tennessee (8827) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1316915614

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJOHN MOORECredential: CRNA

Location Address1411 W BADDOUR PKWYLebanon, TN 37087-2513

Mailing AddressPo Box 207Memphis, TN 38101-0207 · (813) 287-5718

Phone(615) 256-1064

Sole ProprietorNo

Enumeration DateMarch 10, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1316915614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 8827

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1411 W BADDOUR PKWY, Lebanon, TN 37087

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Other Identifiers 1

Medicaid3601010TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES EDDIE WATERS PHARMD, BCPS, CGP

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)