SHANNON ARLENE MOORE
NPI 1821927658
Anesthesiologist Assistant in Tampa, FL

Q: What is Shannon Moore's NPI number?

The NPI number for Shannon Moore is 1821927658. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Q: What is Shannon Moore's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Moore was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since May 18, 2026

3100 E FLETCHER AVE, TAMPA, FL 33613(813) 971-6000 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Shannon Arlene Moore NPPES

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

SHANNON ARLENE MOORE (NPI 1821927658) is an individual anesthesiologist assistant in Tampa, Florida and active in the NPI registry since May 2026. She maintains 2 additional practice locations and is a graduate of Other (2026).

NPPES Registry Identity

NPI1821927658

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameSHANNON ARLENE MOORE

Location Address3100 E FLETCHER AVETampa, FL 33613-4613

Mailing Address1410 Beacon HlAfton, VA 22920-9600 · (540) 447-6370

Phone(813) 971-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMay 18, 2026

NPPES CertifiedMay 18, 2026

✔ NPI 1821927658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

3100 E FLETCHER AVE, Tampa, FL 33613

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Secondary Practice Locations 2

Location 17171 N Dale Mabry HwyTampa, FL 33614-2665 · Phone (813) 932-2222

Location 22600 Bruce B Downs BlvdWesley Chapel, FL 33544-9207 · Phone (813) 929-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID941774723

PECOS Enrollment IDI20260702000837

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.

ELEANOR INNOCENT DPT

Physical Therapist