Jamie Rachel Moore · Adult Health Nurse Practitioner

18 Whitson Rd, Huntington Station, NY 11746-2647

Overview

Jamie Rachel Moore is a Adult Health Nurse Practitioner practicing in Huntington Station, New York. The National Provider Identifier (NPI) is #1801419528, which was assigned on May 28, 2020, and the registration record was last updated on February 19, 2026. The practitioner's main practice location is at 180 E Pulaski Rd, Huntington Station, NY 11746-1915; the contact telephone number is 6314252121. The primary taxonomy of Jamie Rachel Moore is Adult Health Nurse Practitioner (363LA2200X), with specialization in Adult Health. Jamie Rachel Moore is licensed to practice in the state of New York (#650434), New York (#309740), New York (#F309740).

Provider Information

NPI 1801419528
Entity Type Individual
Provider Name JAMIE RACHEL MOORE
Gender Female
Credential NP
Practice Address 180 E Pulaski Rd
Huntington Station
NY 11746-1915
Practice Telephone 6314252121
Mailing Address 18 Whitson Rd
Huntington Station
NY 11746-2647
Mailing Telephone 6315256487
Certification Date 2026-02-19
Enumeration Date 2020-05-28
Last Update Date 2026-02-19
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 4981015591
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name JAMIE R MOORE
Primary Specialty NURSE PRACTITIONER
Organization Legal Name NEW YORK UNIVERSITY
Address 111 Broadway
New York
NY 10006-1901

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N163W00000XRegistered Nurse650434NY
N207L00000XAnesthesiology309740NY
Y363LA2200XNurse PractitionerAdult HealthF309740NY

Secondary Practice Locations

AddressTelephoneFax
101 Nicolls Rd, Stony Brook, NY 1179400016314441310

Taxonomy Information

Primary Taxonomy

Code 363LA2200X
Taxonomy Adult Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Adult Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 163W00000X
Taxonomy Registered Nurse
Classification Registered Nurse
Grouping Nursing Service Providers
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Other Taxonomy

Code 207L00000X
Taxonomy Anesthesiology Physician
Classification Anesthesiology
Grouping Allopathic & Osteopathic Physicians
Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

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Location Information

Street Address 18 WHITSON RD
City HUNTINGTON STATION
State NY
Zip Code 11746-2647
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Molar To Molar Dentistry PC 1679 New York Avenue, Huntington Station, NY 11746General Practice Dentistry2017-07-27
135 Jericho Pharmacy Corp. 135 W Jericho Turnpike, Store 3, Huntington Station, NY 11746Community/Retail Pharmacy2021-07-27
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Karen Rose Jacobsen 165 Pidgeon Hill Road, South Huntington, NY 11746Registered Nurse2016-02-22
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Kimberly Susan Tillett 22 Millet St., Dix Hills, NY 11746Licensed Practical Nurse2018-08-04
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.