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

Mrs. Amanda Dawn Moore, APRN

Individual provider Family Nurse Practitioner · NPI 1700361110

Mrs. Amanda Dawn Moore, APRN is a Nurse Practitioner in Ada, Oklahoma. Qualified in 2018, 8 years ago. Practices with Chickasaw Nation Division of Health, a 243-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2018
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone: (580) 421-4532
Fax: (580) 421-4572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0074299 (OK)

Record details

NPI number1700361110
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Chickasaw Nation Division Of Health — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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