Active NPI
Shemicka L Moore
- Chore Provider
- Omaha, NE
National Provider Identifier
1053101469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- 92127137
- Practice address
- 3488 Grant St
Omaha, NE 68111-3641 - Phone
- (402) 880-9100
- NPI assigned
- May 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 1053101469 | NE | |
| Chore Provider | 372500000X | 92127137 | NE | Primary |
Addresses
Primary practice location
3488 Grant St
Omaha, NE 68111-3641
Mailing address
3488 Grant St
Omaha, NE 68111-3641
Phone (402) 880-9100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92127137 | NE | MD | Chore Provider |
| 1053101469 | NE | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1053101469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3488 GRANT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113641",
"telephone_number": "402-880-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3488 GRANT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113641",
"telephone_number": "402-880-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SHEMICKA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-08",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NE",
"license": "1053101469",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NE",
"license": "92127137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.