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ANDREW MOORE
NPI 1396574430
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since July 29, 2024
3 E APPLEBY RD STE 302, FAYETTEVILLE, AR 72703(479) 404-1401(479) 404-1401 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew Moore NPPES

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

ANDREW MOORE (NPI 1396574430) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1396574430
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW MOORE
Location Address3 E APPLEBY RD STE 302Fayetteville, AR 72703-3160
Mailing Address3 E Appleby Rd Ste 302Fayetteville, AR 72703-3160 · (479) 404-1401 · Fax (479) 404-1401
Phone(479) 404-1401
Fax(479) 404-1401
Sole ProprietorNo
Enumeration DateJuly 29, 2024
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1396574430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3 E APPLEBY RD STE 302, Fayetteville, AR 72703
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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.

LEXUS RANEY
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400
JONATHAN THOMAS DO
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400
BERENICE JIMENEZ KING DO
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400
ASELIN PUTHENPURAIL DO
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400
JILLIAN HACKNEY
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400
DR. CHARLES WILLIAM CONKIN MD
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400
VUTHA NHIM
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 463-1000
ALLISON LONG
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Moore's NPI number?

The NPI number for Andrew Moore is 1396574430. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Andrew Moore located?

Andrew Moore practices at 3 E Appleby Rd Ste 302, Fayetteville, AR 72703. The listed phone number is (479) 404-1401.

What is Andrew Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrew Moore was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.