Individual
TIMOTHY J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1152 GREENVIEW RD, COLLIERVILLE, TN 38017-1160
(901) 674-4636
Mailing address
1152 GREENVIEW RD, COLLIERVILLE, TN 38017-1160
(901) 674-4636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
36528
TN
367500000X
Certified Registered Nurse Anesthetist
901929
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q094735
—
TN
Enumeration date
02/28/2023
Last updated
06/30/2026
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