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

Mallory Butler Moore, CRNP

Individual provider Nurse Practitioner · NPI 1740864180

Mallory Butler Moore, CRNP is a Nurse Practitioner in Huntsville, Alabama. Graduated from University of Alabama School of Medicine in 2020, 6 years ago. Practices with Alabama Colon and Gastro PC, a 7-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
6
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2021
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

101 Sivley Rd SW
Huntsville, AL 35801-4470
Phone: (256) 265-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-149936 (AL)

Record details

NPI number1740864180
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 11, 2021
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Alabama Colon And Gastro Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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