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LUCIE MOORE
NPI 1538860416
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since March 16, 2023PECOS Enrolled
1104 NEWELL DR, GAINESVILLE, FL 32610(772) 538-1499 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lucie Moore NPPES

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

LUCIE MOORE (NPI 1538860416) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538860416
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLUCIE MOORE
Location Address1104 NEWELL DRGainesville, FL 32610-3011
Mailing Address1208 Sw 14th Ave Apt CGainesville, FL 32601-2826
Phone(772) 538-1499
Sole ProprietorNo
Enumeration DateMarch 16, 2023
NPPES CertifiedMarch 16, 2023
✔ NPI 1538860416 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.

1104 NEWELL DR, Gainesville, FL 32610
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucie Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

ANNIKA LIU
Student in an Organized Health Care Education/Training Program
1104 NEWELL DR
GAINESVILLE, FL 32610
Alachua County (352) 273-9165
DIEGO IGNACIO MENDEZ
Physician Assistant
1104 NEWELL DR
GAINESVILLE, FL 32610
Alachua County (352) 273-9165
JOSEPH N ABADIOTAKIS
Physician Assistant
1104 NEWELL DR
GAINESVILLE, FL 32610
Alachua County (732) 616-8850
JONATHAN D'AMATO KASS
Student in an Organized Health Care Education/Training Program
1104 NEWELL DR
GAINESVILLE, FL 32610
Alachua County (954) 303-4676
AUSTIN PAUL KEEHNER PA
Physician Assistant
1104 NEWELL DR
GAINESVILLE, FL 32610
Alachua County (727) 439-1716
MR. WOJCIECH KRZYSZTOF DZIEZA
Student in an Organized Health Care Education/Training Program
1104 NEWELL DR
GAINESVILLE, FL 32610
Alachua County (352) 294-8150
KARL ALEXANDER HARO PA
Physician Assistant
1104 NEWELL DR
GAINESVILLE, FL 32610
Alachua County (352) 273-9165
HASAN FAIYAAZ JHAVERI
Student in an Organized Health Care Education/Training Program
1104 NEWELL DR
GAINESVILLE, FL 32610
Alachua County (863) 206-8183

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 Lucie Moore's NPI number?

The NPI number for Lucie Moore is 1538860416. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Where is Lucie Moore located?

Lucie Moore practices at 1104 Newell Dr, Gainesville, FL 32610. The listed phone number is (772) 538-1499.

What is Lucie Moore's specialty?

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

Is Lucie Moore enrolled in Medicare?

Yes. Lucie Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lucie Moore was last updated on March 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.