DR. VIRGINIA GAIL MOORE PHD APRN PMHNP NPI 1164528816

NPI Information

  • NPI: 1164528816
  • Provider Name: DR. VIRGINIA GAIL MOORE, PHD, APRN, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10549 115TH AVE
    LARGO, FL
    ZIP 33773
  • Phone: (941) 204-3579

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NPI Details

DR. Virginia Gail Moore, PHD, APRN, PMHNP is a psychiatric/mental health nurse practitioner in Largo, FL. DR. Virginia Gail Moore, PHD, APRN, PMHNP NPI is 1164528816. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10549 115TH AVE
LARGO, FL
ZIP 33773-415
Phone: (941) 204-3579

The NPI 1164528816 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 12/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry200208ALASKANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP 9275839FLORIDANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health0024185329VIRGINIANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health5875MINNESOTANo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthAP60895080WASHINGTONNo
6363LP0808XNurse PractitionerPsychiatric/Mental Health32588TENNESSEENo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthC-APN.0004467-C-NPCOLORADONo
8363LP0808XNurse PractitionerPsychiatric/Mental Health202002782NP-PPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000487000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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