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MS. MARY SARA MOORE PSYCH NP
NPI 1912911421
Nurse Practitioner - Psychiatric/Mental Health in Fort Leonard Wood, MO

Active since July 28, 2006
126 MISSOURI AVE, MCXP - CCS - CR, FORT LEONARD WOOD, MO 65473(573) 596-0417(573) 596-0524 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Mary Sara Moore Psych Np NPPES

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

MS. MARY SARA MOORE PSYCH NP (NPI 1912911421) is an individual psychiatric/mental health provider in Fort Leonard Wood, Missouri, licensed in Missouri (152094) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912911421
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MARY SARA MOORECredential: PSYCH NP
Location Address126 MISSOURI AVE, MCXP - CCS - CRFort Leonard Wood, MO 65473-8952
Mailing Address126 Missouri Ave, Mcxp - Ccs - CrFort Leonard Wood, MO 65473-8952 · (573) 596-0417 · Fax (573) 596-0524
Phone(573) 596-0417
Fax(573) 596-0524
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912911421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 152094
126 MISSOURI AVE, Fort Leonard Wood, MO 65473
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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.

DR. BRENDAN DAUGHARTY GRIFFIS DO
Anesthesiology
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0471
VICTORIA ANNE GRUBE
Specialist/Technologist, Pathology (Immunology)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1682
SHANNON RAE MATHERLY CRT
Respiratory Therapist, Certified
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0131
NICHOLAS DOBBS
Physical Therapy Assistant
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1707
MRS. SHAUNIA ROBERTS LPN
Licensed Practical Nurse
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1766
DEBBIE JEAN ROBERTS
Specialist/Technologist (Audiology Assistant)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0131
MRS. KATHY LYNN MULLIHAN
Registered Nurse (Emergency)
126 MISSOURI AVE
FT. LEONARD WOOD, MO 65473
Pulaski County (573) 596-0456
RICKEY RODGER MARTIN PA
Physician Assistant (Medical)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417

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 Mary Moore's NPI number?

The NPI number for Mary Moore is 1912911421. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Mary Moore located?

Mary Moore practices at 126 Missouri Ave Mcxp - Ccs - Cr, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0417.

What is Mary Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mary Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.