Active NPI
Nikale Moore, RN
- Home Health Registered Nurse
- Powder Springs, GA
National Provider Identifier
1033973235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN170837
- Practice address
- 831 Marlay LN SW
Powder Springs, GA 30127-1121 - Phone
- (479) 431-9891
- NPI assigned
- Feb 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN170837 | GA | Primary |
Addresses
Primary practice location
831 Marlay LN SW
Powder Springs, GA 30127-1121
Mailing address
831 Marlay LN SW
Powder Springs, GA 30127-1121
Phone (147) 943-1989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN170837 | GA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allternative Healthcare LLC | Home Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Registered Nurse
- Powder Springs, GA
- NPI 1346004553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1033973235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 MARLAY LN SW",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301271121",
"telephone_number": "147-943-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 MARLAY LN SW",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301271121",
"telephone_number": "479-431-9891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "NIKALE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "RN170837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powder Springs, GA
- Rhonda J Mitchell, SLP
- Mobility Physical Therapy
- Edna Sharie Mock, CERT HAIR LOSS SPECI
- Francesca Momplaisir, D.O.
- Ahkeem Shaquille Moore Sr., CNA
- Seryna V Muhammad Wilkinson, NCC, LPC
- Felicia La Chelle Murrell, MA LMFT
- My Brother'S Legacy, LLC
- Isabella Batallas Myers, BS, DMD, MBA
- Myhealth Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.