Juanita Michelle Moore, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

256897 Issued in TN

Practice address

719 Middle Creek Rd
Sevierville, TN 37862-5016

Phone

(865) 453-1032

Fax

(865) 453-7271

NPI assigned

May 10, 2022

Last updated

May 10, 2022By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Tennessee

  dba Sevier County Health Department

  • State or Local Public Health Clinic/Center
  • Sevierville, TN
  • NPI 1033264916
  NPD (past)
• State of Tennessee

  dba Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD (past)

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1053057208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 MIDDLE CREEK RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625016",
            "telephone_number": "865-453-1032",
            "fax_number": "865-453-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 MIDDLE CREEK RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625016",
            "telephone_number": "865-453-1032",
            "fax_number": "865-453-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JUANITA",
        "middle_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "256897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Hearing and Tinnitus Solutions PLLC (Volunteer Hearing PLLC)
• Nanci Whaley Moody, PHARMD.
• Barbara Ann Mooney, LCSW
• Zoe Sarah-Nicole Moonwood, COTA/L
• Howard Moore, O.D.
• Lachia Monique Moore
• Richard Lee Moore Jr., PTA
• Taska L Morelock, PA
• Leanza Morgan, BS
• John Steven Morton, DDS

• Community Health Registered Nurse in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Community Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.