Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. SAMUEL C. MOORE
Active
Individual
MR. SAMUEL C. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29580
TN
2084P0800X
Psychiatry Physician
29580
TN
363LF0000X
Family Nurse Practitioner
Primary
29580
TN
363LF0000X
Family Nurse Practitioner
3016346
KY
Other
Enumeration date
08/28/2021
Last updated
06/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up