Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE MOORE, NP
Deactivated Sole ProprietorDOMINIQUE MOORE, NP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in ASHLAND, Virginia. NPI 1063294205 is deactivated in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · ASHLAND, VA
This NPI has been deactivated.
The record was deactivated on December 10, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1063294205
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2023 (2.1397260273973 yrs)
- Last Updated
- Jan 12, 2026
- Deactivated
- Dec 10, 2025
- License
-
0024188517 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12300 WASHINGTON HWYASHLAND, VA, 230057646Browse VA providers · Browse ZIP 23005
- Phone
- 8048979355
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in ASHLAND, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. ELLEN ELAINE TINSLEY | NP | 1578833828 |
| JESSICA R GEEN | N.P. | 1295081917 |
| DAERYL WILLIAMSON | PMHNP | 1295397123 |
| RY WILLIS BERGUM | PMHNP | 1275103459 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.