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AMY MARIE MOORE PA-C
NPI 1710259833
Physician Assistant in Jbsa Ft Sam Houston, TX

Active since February 06, 2012
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234(210) 916-8764 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 11, 2020, May 7, 2018, Apr 16, 2018 and 2 more (5 updates tracked since 2017).

About Amy Marie Moore Pa-c NPPES

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

AMY MARIE MOORE PA-C (NPI 1710259833) is an individual physician assistant in Jbsa Ft Sam Houston, Texas, licensed in Texas (PA11886) and active in the NPI registry since February 2012. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710259833
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY MARIE MOORECredential: PA-C
Location Address3551 ROGER BROOKE DRJbsa Ft Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504
Phone(210) 916-8764
Sole ProprietorNo
Enumeration DateFebruary 6, 2012
Last NPPES UpdateJune 11, 20205 updates tracked since enumeration
NPPES CertifiedJune 11, 2020
✔ NPI 1710259833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA11886
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedEmergency MedicineTaxonomy 207P00000X · License PA11886 (TX)
3551 ROGER BROOKE DR, Jbsa Ft Sam Houston, TX 78234
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Other Names 1

Former Name (1)Amy Marie Shutt Pa-c

Secondary Practice Locations 2

Location 11650 Cochrane Bld 7500, USA MEDDAC, Evans ACHFt. Carson, CO 80913 · Phone (210) 247-7072
Location 22981 Garden AveJbsa Ft Sam Houston, TX 78234-7635 · Phone (210) 556-5147

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.

JANET JONES SIMS CRNA
Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (253) 223-6272
JAMES KENNEDY HARDIN PA-C
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Bexar County (210) 295-4996
DR. DANIEL VICTOR-CALVIN HAMMOND M.D.
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-3020
JESSICA FULLER LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 808-1859
DR. JASON ROBERT HALL M.D.
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
MRS. KATHRYN ELAINE HELLAND LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
DR. HALWARD BLEGEN IV DO
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Bexar County (210) 220-7419
KOLE HOLLAND SPAULDING M.D.
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582

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 Amy Moore's NPI number?

The NPI number for Amy Moore is 1710259833. It was assigned to this individual provider in the NPPES registry on February 6, 2012. The provider is also known as Amy Marie Shutt Pa-C.

Where is Amy Moore located?

Amy Moore practices at 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (210) 916-8764.

What is Amy Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Amy Moore was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.