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

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

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Lanham, MD

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

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