NPI age
7 years
Enumerated 2018-11-19
● Active
Type 1 · Individual
Shane Moore
Moore is 1 of 152 nurse practitioner providers in Waco and 1 of 22123 in Texas.
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 22123 active nurse practitioner providers in Texas.
NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-11Enumerated in NPPES
2018
2026
Where they practice
Practice location
7030 New Sanger Ave Ste 204
Waco, TX 767124074
Mailing address
Po Box 11538
Killeen, TX 765471538
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2304 Marketplace Dr
Waco, TX 767112467
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | AP139172 | LICENSE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 4 new nurse practitioner providers have been added in Waco in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 22123 Nurse Practitioner providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.