Gwendolyn Layette Moore, RN

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

81-068-4911 Issued in MI

Practice address

4441 Old Colony Road
Kalamazoo, MI 49008

Phone

(269) 312-8858

Fax

(269) 312-8789

NPI assigned

May 4, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1013363449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 OLD COLONY RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083200",
            "telephone_number": "269-312-8858",
            "fax_number": "269-312-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 OLD COLONY ROAD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49008",
            "telephone_number": "269-312-8858",
            "fax_number": "269-312-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GWENDOLYN",
        "middle_name": "LAYETTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": "81-068-4911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Christina Moore, BSW
• Dale G Moore, C.R.N.A.
• Dejanique Moore
• Delena Renee Moore
• Emma Jean Moore
• Mary Moore, MA
• Pam Moore, MSW, LLMSW
• Rhonda Lynn Moore, DTLLP
• Shirlee Buchanan Moore Jr., DTLLP
• Shirley L. Moore

• Home Health Aide in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.