Stephanie K Moore, CRNA

Nurse anesthetist in College Station, Texas · NPI 1275915613

Stephanie Moore is one of 70 nurse anesthetists practicing in College Station, Texas. Stephanie Moore practices with John Kimball Anesthesia LLC and Scott And White Clinic.

Registry record (NPPES)

NPI: 1275915613
Type: Type 1 · Individual
Primary taxonomy: Nurse Anesthetist, Certified Registered · 367500000X
Address on file: 700 Scott And White Dr
College Station, TX 77845-6441
(979) 207-0100
Enumerated: Jun 22, 2015
Record last updated: Jan 25, 2022
License states listed: TN, TX

Medicare (CMS)

Enrollment: Medicare-enrolled in KY, TN, TX
Certified Registered Nurse Anesthetist (CRNA)
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

1280 Arrington Rd Suite 200
College Station, TX 77845
(979) 207-6550
1700 University Dr E
College Station, TX 77840
(979) 691-3300
1700 University Dr E Entrance 16 Care Clinic College Station University Dr
College Station, TX 77840
(979) 207-3636
700 Scott And White Dr
College Station, TX 77845
(979) 207-0100
104 7th St
Bay City, TX 77414
(979) 245-6383
2701 Hospital Dr
Victoria, TX 77901
(361) 573-9181

More nurse anesthetists in College Station

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.