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

Ian Russell Moore, CNP

Individual provider Oncology Registered Nurse · NPI 1356797054

Ian Russell Moore, CNP is a Nurse Practitioner in Houston, Texas. Qualified in 2016, 10 years ago. Practices with Physicians Referral Service, a 2,727-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Texas.

Years since qualifying
10
Licensed in
OH, TX
In the registry since
2016
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1515 Holcombe Blvd
Houston, TX 77030-4000
Phone: (713) 792-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 460 W 10th Ave, Columbus, OH 43210-1240 — (614) 293-8415

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1045702 (TX)
Oncology Registered Nurse Taxonomy 163WX0200X · Licence RN.327298 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.019597 (OH)

Record details

NPI number1356797054
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedMay 11, 2016
Last updated in NPPESOctober 4, 2021
Certification dateJune 1, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Physicians Referral Service — 2727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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