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

Nicole Kay Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720430580

Nicole Kay Moore is a Certified Registered Nurse Anesthetist (CRNA) in Lanham, Maryland. Qualified in 2016, 10 years ago. Practices with First Colonies Anesthesia Associates, LLC, a 340-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Ohio.

Years since qualifying
10
Licensed in
MD, OH
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone: (301) 324-4968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10307 Detroit Ave, Cleveland, OH 44102-1604 — (507) 202-5355

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R224991 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RN.331366 (OH)

Record details

NPI number1720430580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2016
Last updated in NPPESFebruary 8, 2019
Mailing address8118 Good Luck Rd, Lanham, MD 20706-3574

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice First Colonies Anesthesia Associates, Llc — 340 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lanham