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CRYSTAL BAXLEY MOORE
NPI 1477084614
Specialist - Prosthetics Case Management in Elizabethtown, NC

Active since March 21, 2017
105 EAST BROAD ST, ELIZABETHTOWN, NC 28337(910) 991-3151 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Crystal Baxley Moore NPPES

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

CRYSTAL BAXLEY MOORE (NPI 1477084614) is an individual prosthetics case management provider in Elizabethtown, North Carolina, licensed in North Carolina (C48738) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1477084614
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameCRYSTAL BAXLEY MOORE
Location Address105 EAST BROAD STElizabethtown, NC 28337
Mailing Address8621 Lisbon RdClarkton, NC 28433-8769 · (910) 991-3151
Phone(910) 991-3151
Sole ProprietorYes
Enumeration DateMarch 21, 2017
✔ NPI 1477084614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in NC · C48738
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
105 EAST BROAD ST, Elizabethtown, NC 28337
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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 Crystal Moore's NPI number?

The NPI number for Crystal Moore is 1477084614. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Crystal Moore located?

Crystal Moore practices at 105 East Broad St, Elizabethtown, NC 28337. The listed phone number is (910) 991-3151.

What is Crystal Moore's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Crystal Moore was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.