Jodi Lynn Moore, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R046845 Issued in SD

Practice address

410 E Monroe St
Rapid City, SD 57701-1424

Phone

(605) 341-6448

Fax

(605) 341-2941

NPI assigned

Apr 17, 2018

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1033606900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E MONROE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011424",
            "telephone_number": "605-341-6448",
            "fax_number": "605-341-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MONROE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011424",
            "telephone_number": "605-341-6448",
            "fax_number": "605-341-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SD",
            "license": "R046845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monument Health Rapid City Hospital. Inc. (Monument Health Rapid City Clinic, 5th Street)
• Moody Dental Implant Centers LLC
• Lisa R Moon, RN
• Nichole Mooney, FNP-BC
• Tiffany Mooney, LPC-MH, QMHP
• Melissa H Moore, PTA
• Scott Moore
• Treese Morford Deboer, MSW, CSW-PIP
• Isaac John Morgan, DMD
• Jessica Morgan

• School Registered Nurse in Rapid City, SD
• Providers in Rapid City, SD by specialty
• School Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.