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

CARLY JEAN MOORE APRN
NPI 1629896006
Nurse Practitioner - Family in Miami, FL

Active since October 02, 2024
3100 SW 62ND AVE STE 121NE, MIAMI, FL 33155(305) 663-8595 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, May 26, 2026, Oct 3, 2024 (3 updates tracked since 2024).

About Carly Jean Moore Aprn NPPES

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

CARLY JEAN MOORE APRN (NPI 1629896006) is an individual family provider in Miami, Florida, licensed in Florida (APRN11035619) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1629896006
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY JEAN MOORECredential: APRN
Location Address3100 SW 62ND AVE STE 121NEMiami, FL 33155-3009
Mailing Address5955 Ponce De Leon BlvdCoral Gables, FL 33146-2423 · (305) 663-8595
Sole ProprietorNo
Enumeration DateOctober 2, 2024
Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1629896006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11035619
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11035619 (FL)
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License APRN11035619 (FL)
3100 SW 62ND AVE STE 121NE, Miami, FL 33155

Other Names 1

Former Name (1)Carly Jean Comito Aprn

Other Providers at the Same Location NPPES

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

Social Worker
3100 SW 62ND AVE STE 121NE
MIAMI, FL 33155

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 Carly Moore's NPI number?

The NPI number for Carly Moore is 1629896006. It was assigned to this individual provider in the NPPES registry on October 2, 2024. The provider is also known as Carly Jean Comito Aprn.

Where is Carly Moore located?

Carly Moore practices at 3100 SW 62nd Ave Ste 121ne, Miami, FL 33155. The listed phone number is (305) 663-8595.

What is Carly Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Carly Moore was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.