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TAMARA LYNN MOORE M.D.
NPI 1497011001
Pediatrics in Shreveport, LA

Active since April 09, 2012
909 OLIVE ST, SHREVEPORT, LA 71104(318) 698-3291(318) 698-3293 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Aug 2, 2017 (2 updates tracked since 2017).

About Tamara Lynn Moore M.d. NPPES

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

TAMARA LYNN MOORE M.D. (NPI 1497011001) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Louisiana (MD.208034) and active in the NPI registry since April 2012. She maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1497011001
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTAMARA LYNN MOORECredential: M.D.
Location Address909 OLIVE STShreveport, LA 71104-2103
Mailing Address909 Olive StShreveport, LA 71104-2103 · (318) 698-3291 · Fax (318) 698-3293
Phone(318) 698-3291
Fax(318) 698-3293
Sole ProprietorNo
Enumeration DateApril 9, 2012
Last NPPES UpdateJune 29, 20222 updates tracked since enumeration
NPPES CertifiedJune 29, 2022
✔ NPI 1497011001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · MD.208034
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
909 OLIVE ST, Shreveport, LA 71104
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Secondary Practice Location 1

Location 11501 Kings HwyShreveport, LA 71103-4228 · Phone (318) 675-8600

Other Identifiers 1

Medicaid2188852LA

Other Providers at the Same Location NPPES 3

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

WK PEDIATRIC HEALTH & WELLNESS
Pediatrics
909 OLIVE ST
SHREVEPORT, LA 71104
Caddo Parish (318) 698-3291
DR. VIRGINIA HOMZA CARTER
Pediatrics
909 OLIVE ST
SHREVEPORT, LA 71104
Caddo Parish (318) 698-3291
MARLEEN JANNETT COMBS FNP
Nurse Practitioner (Family)
909 OLIVE ST
SHREVEPORT, LA 71104
Caddo Parish (318) 698-3291

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 Tamara Moore's NPI number?

The NPI number for Tamara Moore is 1497011001. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Tamara Moore located?

Tamara Moore practices at 909 Olive St, Shreveport, LA 71104. The listed phone number is (318) 698-3291.

What is Tamara Moore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Tamara Moore was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.