Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jennifer Moore, PA

Surgical Physician Assistant in Temple Terrace, FL · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790781052

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Registry record

Entity type Individual (Type 1)

Name Jennifer Moore

Credential PA

Sex Female

Practice address 13020 N Telecom Pkwy, Temple Terrace, FL, 33637

Phone (813) 978-9700

Fax (813) 558-6187

Enumeration date Jun 22, 2005

Last updated in NPPES Mar 31, 2011

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA3401 (FL) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
290371700	Medicaid	FL	-
970004474	Other	FL	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jennifer Moore's NPI record?

Cross-check NPI 1790781052 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1790781052 active?

Yes, as of the latest NPPES snapshot, NPI 1790781052 is active (record last updated 2011-03-31).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-31.