Active NPI
Linda Lee Moore, CNA
- Community Health Worker
- Independence, IA
National Provider Identifier
1093019796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- C060293
- Practice address
- 1717 3Rd St. N.E.
Independence, IA 50644-1717 - Phone
- (319) 327-0092
- NPI assigned
- Jan 10, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | C060293 | IA | Primary |
Addresses
Primary practice location
1717 3Rd St. N.E.
Independence, IA 50644-1717
Mailing address
1717 3Rd St. N.E.
P.O. Box 463
Independence, IA 50644-1717
Phone (319) 327-0092
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 |
|---|---|---|---|
| C060293 | IA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1093019796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 3RD ST. N.E.",
"address_2": "P.O. BOX 463",
"city": "INDEPENDENCE",
"state": "IA",
"postal_code": "506441717",
"telephone_number": "319-327-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 3RD ST. N.E.",
"city": "INDEPENDENCE",
"state": "IA",
"postal_code": "506441717",
"telephone_number": "319-327-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LINDA",
"middle_name": "LEE",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IA",
"license": "C060293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.