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NASTASSJA R MOORE N.P.
NPI 1841639762
Nurse Practitioner - Family in Chattanooga, TN

Active since June 25, 2013
2341 MCCALLIE AVE STE 403, CHATTANOOGA, TN 37404(423) 602-9674(423) 602-9690 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nastassja R Moore N.p. NPPES

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

NASTASSJA R MOORE N.P. (NPI 1841639762) is an individual family provider in Chattanooga, Tennessee, licensed in Tennessee (17742) and active in the NPI registry since June 2013. She maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1841639762
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNASTASSJA R MOORECredential: N.P.
Location Address2341 MCCALLIE AVE STE 403Chattanooga, TN 37404
Mailing Address2341 Mccallie Ave Ste 403Chattanooga, TN 37404-3227 · (423) 602-9674 · Fax (423) 602-9690
Phone(423) 602-9674
Fax(423) 602-9690
Sole ProprietorNo
Enumeration DateJune 25, 2013
Last NPPES UpdateJune 7, 2018
✔ NPI 1841639762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 17742
Also ListedRegistered NurseTaxonomy 163W00000X · License 161491 (TN)
2341 MCCALLIE AVE STE 403, Chattanooga, TN 37404
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Secondary Practice Location 1

Location 13905 Webb RdChattanooga, TN 37416-1839 · Phone (423) 521-4776 · Fax (423) 521-4781

Other Identifiers 2

MedicaidQ000920TN
Medicaid003136096AGA

Other Providers at the Same Location NPPES 2

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

CYNTHIA L CROSS APN
Nurse Practitioner
2341 MCCALLIE AVE STE 403
CHATTANOOGA, TN 37404
Hamilton County (423) 698-2435
DANIELLE LEA PHILLIPS AGACNP
Nurse Practitioner (Acute Care)
2341 MCCALLIE AVE STE 403
CHATTANOOGA, TN 37404
Hamilton County (423) 508-3280

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 Nastassja Moore's NPI number?

The NPI number for Nastassja Moore is 1841639762. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Nastassja Moore located?

Nastassja Moore practices at 2341 Mccallie Ave Ste 403, Chattanooga, TN 37404. The listed phone number is (423) 602-9674.

What is Nastassja 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 Nastassja Moore was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.