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

Mr. Zachary David Moore, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1316370992

Mr. Zachary David Moore, FNP-BC is a Nurse Practitioner in Charleston, West Virginia. Qualified in 2013, 13 years ago. Practices with Grandw Inc, a 90-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
13
Licensed in
WV
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1 Kenton Dr Ste 200
Charleston, WV 25311-1256
Phone: (304) 513-3495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Harbour Way, Milton, WV 25541-1545 — (304) 743-1407

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN72998 (WV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 72998 (WV)

Record details

NPI number1316370992
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 18, 2013
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Grandw Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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