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Alexis Moore is one of 125 nurse practitioners practicing in San Angelo, Texas .
Alexis Moore practices with Shannon Clinic.
Registry record (NPPES)
NPI
1720816861
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Psychiatric/Mental Health · 363LP0808X
Address on file
3555 Knickerbocker Rd San Angelo, TX 76904-7610 (325) 747-2225
Enumerated
Jul 22, 2024
Record last updated
Jun 30, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
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
3555 Knickerbocker Rd
San Angelo , TX 76904
(325) 747-1511
More nurse practitioners in San Angelo
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.
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