Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cindy D Moore, AGNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1164299178

Cindy D Moore, AGNP-BC is a Nurse Practitioner in Fairbanks, Alaska. Qualified in 2023, 3 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2023

Practice location Address checks out

1919 Lathrop St Ste 100
Fairbanks, AK 99701-5937
Phone: (907) 459-3570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 0024188774 (VA)

Record details

NPI number1164299178
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorNo
NPI enumeratedDecember 8, 2023
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services